HOLLY JACKSON
NPI 1083882278
Licensed Practical Nurse in Salt Lake City, UT
- Individual
- Female
- Licensed Practical Nurse
About HOLLY JACKSON
This page provides the complete NPI Profile along with additional information for Holly Jackson, a provider established in Salt Lake City, Utah with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1083882278 assigned on February 2008. The practitioner's primary taxonomy code is 164W00000X with license number 6683403-3101 (UT). The provider is registered as an individual and her NPI record was last updated 18 years ago.
- NPI
- 1083882278 Verify this NPI
- Provider Name
- HOLLY JACKSON
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2040 MURRAY HOLLADAY RD STE 205 SALT LAKE CITY, UT 84117
- Location Phone
- (801) 274-0299
- Mailing Address
- 2422 COBBLESTONE WAY SANDY, UT 84093
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-11-2008
- Last Update Date
- 02-11-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Licensed Practical Nurse
- Taxonomy Code
- 164W00000X
- Type
- Nursing Service Providers
- License No.
- 6683403-3101
- License State
- UT
- Taxonomy Description
- 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.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083882278, enumerated as an "individual" on February 11, 2008.
The provider is located at 2040 MURRAY HOLLADAY RD STE 205 SALT LAKE CITY, UT 84117 and the phone number is (801) 274-0299.
Licensed Practical Nurse with taxonomy code 164W00000X.
