Individual provider · Type 1 NPI
Holly Jackson
Licensed Practical Nurse · Salt Lake City, UT
Practice location
2040 Murray Holladay Rd Ste 205
Salt Lake City, UT 84117-5197
Mailing address
2422 Cobblestone Way
Sandy, UT 84093-1884
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 6683403-3101 (UT) |
Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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- Amber GreggLicensed Practical Nurse Salt Lake City, UT NPI 1124300660
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- Cindy Jo HishLicensed Practical Nurse Salt Lake City, UT NPI 1194530469
About NPI 1083882278
Holly Jackson's National Provider Identifier is 1083882278, issued on Feb 11, 2008. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Feb 11, 2008.