HOLLY JACKSON

Licensed Practical Nurse

Active Individual
NPI: 1083882278

Practice Address

2040 MURRAY HOLLADAY RD STE 205
Salt Lake City, UT 84117

Phone: (801) 274-0299

Specialties

Specialty Code Primary License
Licensed Practical Nurse 164W00000X Yes 6683403-3101 (UT)

Frequently Asked Questions

NPI 1083882278 is the National Provider Identifier for HOLLY JACKSON, a Licensed Practical Nurse provider located in Salt Lake City, UT. This NPI was enumerated on February 11, 2008.
HOLLY JACKSON practices at 2040 MURRAY HOLLADAY RD STE 205, Salt Lake City, UT 84117.

Quick Facts

NPI
1083882278
Type
Individual
Enumerated
Feb 11, 2008
Last Updated
Feb 11, 2008

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