MR. JORDAN MITCHELL PACKHAM PA
NPI 1447005681
Physician Assistant in Salt Lake City, UT
About Mr. Jordan Mitchell Packham Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JORDAN MITCHELL PACKHAM PA (NPI 1447005681) is an individual physician assistant in Salt Lake City, Utah, licensed in Utah (14305753-1206) and active in the NPI registry since April 2024. He maintains a secondary practice location in Salt Lake City.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SALT LAKE CITY, UT 84113
SALT LAKE CITY, UT 84113
SALT LAKE CITY, UT 84113
SALT LAKE CITY, UT 84113
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 Jordan Packham's NPI number?
The NPI number for Jordan Packham is 1447005681. It was assigned to this individual provider in the NPPES registry on April 22, 2024.
Where is Jordan Packham located?
Jordan Packham practices at 100 N Mario Capecchi Dr, Salt Lake City, UT 84113. The listed phone number is (801) 662-1000.
What is Jordan Packham's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
When was this NPI record last updated?
The NPPES record for Jordan Packham was last updated on September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.