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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 (18.714917906385 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.