NPI 1083882278
Holly Jackson
Practice location
- Address
- 2040 Murray Holladay Rd STE 205, Salt Lake City, UT 84117-5197
- Phone
- (801) 274-0299
- Mailing address
- 2422 Cobblestone Way, Sandy, UT 84093-1884
Registered specialties
Licensed Practical Nurse
Primary
Registry record
- NPI
- 1083882278
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 11 Feb 2008
- Record last updated
- 11 Feb 2008
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.