KATRIEN JACK, PA-C
Physician Assistant
Active
Individual
NPI: 1366024390
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 13028685-1206 (UT) |
Frequently Asked Questions
NPI 1366024390 is the National Provider Identifier for KATRIEN JACK, PA-C, a Physician Assistant provider located in Roy, UT. This NPI was enumerated on April 28, 2021.
KATRIEN JACK, PA-C practices at 1915 W 5950 S, Roy, UT 84067.
Quick Facts
- NPI
- 1366024390
- Type
- Individual
- Enumerated
- Apr 28, 2021
- Last Updated
- Nov 21, 2025
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