MR. JORDAN MITCHELL PACKHAM PA
NPI 1447005681
Student in an Organized Health Care Education/Training Program in Salt Lake City, UT

Q: 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.

Q: What is Jordan Packham's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Packham was last updated on April 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 April 22, 2024

996 S 200 E APT 105, SALT LAKE CITY, UT 84111(970) 818-1390 Get Directions Write a Review

NPPES record last updated: April 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

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 student in an organized health care education/training program in Salt Lake City, Utah and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1447005681

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMR. JORDAN MITCHELL PACKHAMCredential: PA

Location Address996 S 200 E APT 105Salt Lake City, UT 84111-4253

Mailing Address996 S 200 E Apt 105Salt Lake City, UT 84111-4253 · (970) 818-1390

Phone(970) 818-1390

Sole ProprietorNo

Enumeration DateApril 22, 2024

NPPES CertifiedApril 22, 2024

✔ NPI 1447005681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

996 S 200 E APT 105, Salt Lake City, UT 84111

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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 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 996 S 200 E Apt 105, Salt Lake City, UT 84111. The listed phone number is (970) 818-1390.

What is Jordan Packham's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jordan Packham was last updated on April 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.