HOLLY JACKSON
NPI 1083882278
Licensed Practical Nurse in Salt Lake City, UT

Q: What is Holly Jackson's NPI number?

The NPI number for Holly Jackson is 1083882278. It was assigned to this individual provider in the NPPES registry on February 11, 2008.

Q: What is Holly Jackson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Holly Jackson was last updated on February 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 11, 2008

2040 MURRAY HOLLADAY RD STE 205, SALT LAKE CITY, UT 84117(801) 274-0299 Get Directions Write a Review

NPPES record last updated: February 11, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Holly Jackson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOLLY JACKSON (NPI 1083882278) is an individual licensed practical nurse in Salt Lake City, Utah, licensed in Utah (6683403-3101) and active in the NPI registry since February 2008.

NPPES Registry Identity

NPI1083882278

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameHOLLY JACKSON

Location Address2040 MURRAY HOLLADAY RD STE 205Salt Lake City, UT 84117-5197

Mailing Address2422 Cobblestone WaySandy, UT 84093-1884

Phone(801) 274-0299

Sole ProprietorNo

Enumeration DateFebruary 11, 2008

✔ NPI 1083882278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in UT · 6683403-3101

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

2040 MURRAY HOLLADAY RD STE 205, Salt Lake City, UT 84117

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Holly Jackson's NPI number?

The NPI number for Holly Jackson is 1083882278. It was assigned to this individual provider in the NPPES registry on February 11, 2008.

Where is Holly Jackson located?

Holly Jackson practices at 2040 Murray Holladay Rd Ste 205, Salt Lake City, UT 84117. The listed phone number is (801) 274-0299.

What is Holly Jackson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Holly Jackson was last updated on February 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.