Individual provider · Type 1 NPI

Ellie Jackson

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

NPI number 1093697617 Active

Practice location

University Of Utah School Of Medicine, 27 S. Mario Capecchi Drive
Salt Lake City, UT 84113

Call (801) 581-7498 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 1093697617

Ellie Jackson's National Provider Identifier is 1093697617, issued on Jul 24, 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 Jul 24, 2025.