Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. HEATHER KAYE JACKSON
Active Sole ProprietorMRS. HEATHER KAYE JACKSON is a Behavioral Health, Residential healthcare provider located in PROVO, Utah. NPI 1720863764 is currently active in the NPPES registry. Verify at CMS.
Behavioral Health, Residential · PROVO, UT
Registration Details
- NPI Number
- 1720863764
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 29, 2023 (2.9912861681742 yrs)
- Last Updated
- Aug 29, 2023
- License
-
F23-104260 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1200 TOWNE CENTRE BLVD SPC 1142PROVO, UT, 846012941Browse UT providers · Browse ZIP 84601
- Phone
- 9726584509
- Primary Specialty
-
Behavioral Health, Residential
251C00000X
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.