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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHELDON JACKSON, PA

Active

Physician Assistant · LAYTON, UT

Registration Details

NPI Number
1003829086
Provider Type
Individual
Gender
Male
NPI Issued
Aug 14, 2006 (19.714615564959 yrs)
Last Updated
Dec 7, 2007
License
6246293-1206 (UT)

Practice Information

Address
1240 E HIGHWAY 193
SUITE G-1
LAYTON, UT, 840408544
Browse UT providers · Browse ZIP 84040
Phone
8017711331
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in LAYTON, UT

Name Credential NPI
MICHAEL C HAWKINS PA-C 1639161078
MR. JESSE A JORGENSEN PAC 1336130889
TERRY RUSSELL VAN WORMER PA-C 1467439505
BRYAN SEARLE PA-C 1427037738
DAVIN BOYD HANSEN PA-C 1770562878
DANIEL OFFRET PA-C 1083675128
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.