NPI 1073891578
Jaclyn Marie Utley, OTRL
Practice location
- Address
- 620 Skyline Dr, Jackson, TN 38301-3923
- Phone
- (731) 541-7942
- Mailing address
- 40 Woodshire Cv, Jackson, TN 38305-1308
Registered specialties
Community Health Worker
Primary
Registry record
- NPI
- 1073891578
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 1 Aug 2011
- Record last updated
- 1 Aug 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.