Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. JORDAN MITCHELL PACKHAM PA
NPI 1447005681
Physician Assistant in Salt Lake City, UT

Active since April 22, 2024
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113(801) 662-1000 Get Directions Write a Review

NPPES record last updated: September 2, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Sep 2, 2026, Apr 22, 2024 (2 updates tracked since 2024).

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

NPI1447005681
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. JORDAN MITCHELL PACKHAMCredential: PA
Location Address100 N MARIO CAPECCHI DRSalt Lake City, UT 84113-1103
Mailing AddressPo Box 30180Salt Lake City, UT 84130-0180
Sole ProprietorNo
Enumeration DateApril 22, 2024
Last NPPES UpdateSeptember 2, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2026
NPI 1447005681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in UT · 14305753-1206
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
100 N MARIO CAPECCHI DR, Salt Lake City, UT 84113

Secondary Practice Location 1

Location 1996 S 200 E Apt 105Salt Lake City, UT 84111-4253 · Phone (970) 818-1390

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.

Physical Therapist
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Pediatrics
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Nurse Practitioner (Family)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Radiology (Diagnostic Radiology)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Pediatrics (Pediatric Cardiology)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Nurse Practitioner (Pediatrics, Critical Care)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Occupational Therapist
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Pediatrics (Pediatric Endocrinology)
100 N MARIO CAPECCHI DR
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.