Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JESSICA SUZANNE BACIKALO, PA-C
ActiveMRS. JESSICA SUZANNE BACIKALO, PA-C is a Medical Physician Assistant healthcare provider located in SALT LAKE CITY, Utah. NPI 1700033024 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · SALT LAKE CITY, UT
Registration Details
- NPI Number
- 1700033024
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 19, 2008 (17.804075883152 yrs)
- Last Updated
- Oct 16, 2021
- License
-
177611-1205 (UT)
Practice Information
- Address
-
500 FOOTHILL DRSALT LAKE CITY, UT, 841480001Browse UT providers · Browse ZIP 84148
- Phone
- 8015821565
- Fax
- 8015845647
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in SALT LAKE CITY, UT
| Name | Credential | NPI |
|---|---|---|
| MARGARET MICHELE LOVELL | PA | 1922093558 |
| MICHAEL DAVID ENGELBERT-FENTON | PA-C | 1194701920 |
| MR. DAVID JOE KEAHEY | PA-C | 1003892837 |
| VIET LE | PAC | 1669440152 |
| LOUISE K TOBEY | PA-C | 1841252004 |
| CHARLES S KING | PA | 1740235845 |
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.