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

HALEY W JACKSON, MD

Active

HALEY W JACKSON, MD is a Family Medicine healthcare provider located in PROVO, Utah. NPI 1396248159 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · PROVO, UT

Registration Details

NPI Number
1396248159
Provider Type
Individual
Gender
Female
NPI Issued
Mar 16, 2018 (8.4064833307845 yrs)
Last Updated
Jul 15, 2021
License
11336450-1205 (UT)

Practice Information

Address
1900 N STATE ST
PROVO, UT, 846041341
Browse UT providers · Browse ZIP 84604
Phone
8013732001
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in PROVO, UT

Name Credential NPI
DR. STEVEN W BLOINK MD 1891787891
ANDREW D PETERSEN DO 1124011572
DR. DENNIS C HESS M.D. 1326035080
DR. RICHARD J HOLMES M.D. 1083601942
DR. JAMES A WOODMANSEE III M.D. 1093703530
WESLEY D WYLIE M.D. 1548215197
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.