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

HOLLY JACKSON

Active

HOLLY JACKSON is a Licensed Practical Nurse healthcare provider located in SALT LAKE CITY, Utah. NPI 1083882278 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · SALT LAKE CITY, UT

Registration Details

NPI Number
1083882278
Provider Type
Individual
Gender
Female
NPI Issued
Feb 11, 2008 (18.462871844348 yrs)
Last Updated
Feb 11, 2008
License
6683403-3101 (UT)

Practice Information

Address
2040 MURRAY HOLLADAY RD STE 205
SALT LAKE CITY, UT, 841175197
Browse UT providers · Browse ZIP 84117
Phone
8012740299
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in SALT LAKE CITY, UT

Name Credential NPI
MR. DENNIS R RICE LPN 1225013410
KAREN E HERRICK LPN 1386839074
MS. CRYSTAL RENEE COX LPN 1003084856
ISAAC TAYLOR MUIR 1497057673
NORMA RAE CUTTER LPN 1972805562
SHAUNA SA'U LPN 1407153919
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.