CHASE JACKMAN, PA
Physician Assistant
Active
Individual
NPI: 1396594339
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 14246720-1206 (UT) |
Frequently Asked Questions
NPI 1396594339 is the National Provider Identifier for CHASE JACKMAN, PA, a Physician Assistant provider located in Provo, UT. This NPI was enumerated on May 13, 2024.
CHASE JACKMAN, PA practices at 1055 N 500 W STE 121, BLDG C, Provo, UT 84604.
Quick Facts
- NPI
- 1396594339
- Type
- Individual
- Enumerated
- May 13, 2024
- Last Updated
- Oct 10, 2025
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