Individual provider · Type 1 NPI

Jacqueline Anderson, MD

Student in an Organized Health Care Education/Training Program · Salt Lake City, UT

NPI number 1053108332 Active

Practice location

127 S 500 E Ste 220
Salt Lake City, UT 84102-1982

Call (801) 581-2401 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1053108332

Jacqueline Anderson, MD's National Provider Identifier is 1053108332, issued on Apr 22, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Salt Lake City, UT. The record was last updated on Apr 22, 2025.