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

IRELINDE MACKENZIE JACKSON

Active Sole Proprietor

IRELINDE MACKENZIE JACKSON is a Community Health Worker healthcare provider located in WEST VALLEY CITY, Utah. NPI 1255985859 is currently active in the NPPES registry. Verify at CMS.

Community Health Worker · WEST VALLEY CITY, UT

Registration Details

NPI Number
1255985859
Provider Type
Individual
Gender
Female
NPI Issued
Jul 31, 2019 (7.005791128936 yrs)
Last Updated
Jul 31, 2019
Sole Proprietor
Yes

Practice Information

Address
3280 W 3500 S STE E
WEST VALLEY CITY, UT, 841192668
Browse UT providers · Browse ZIP 84119
Phone
8019791351
Primary Specialty
Community Health Worker
172V00000X

Other Community Health Worker Providers in WEST VALLEY CITY, UT

Name Credential NPI
JASON MILLER 1063922201
AUTUMN MARIE SALVATORE 1194291203
PERCY J PEARSON 1104392646
LARS MAHONRI MOLENI 1255896056
AMIRA LATORRE 1790322311
AMY JULIANNA FRASCONE 1760013643
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.