NPI Index

ELLIE JACKSON

Student in an Organized Health Care Education/Training Program

Active Individual
NPI: 1093697617

Practice Address

UNIVERSITY OF UTAH SCHOOL OF MEDICINE
27 S. MARIO CAPECCHI DRIVE
Salt Lake City, UT 84113

Phone: (801) 581-7498

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X Yes -

Frequently Asked Questions

NPI 1093697617 is the National Provider Identifier for ELLIE JACKSON, a Student in an Organized Health Care Education/Training Program provider located in Salt Lake City, UT. This NPI was enumerated on July 24, 2025.
ELLIE JACKSON practices at UNIVERSITY OF UTAH SCHOOL OF MEDICINE, 27 S. MARIO CAPECCHI DRIVE, Salt Lake City, UT 84113.

Quick Facts

NPI
1093697617
Type
Individual
Enumerated
Jul 24, 2025
Last Updated
Jul 24, 2025

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