Individual provider · Type 1 NPI
Jacke L. Corbett, APRN
Family Nurse Practitioner · Salt Lake City, UT
NPI number
1114038882
Active
Practice location
50 N Medical Dr
Salt Lake City, UT 84132-0001
Mailing address
PO Box 510721
Salt Lake City, UT 84151-0721
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 210462-4405 (UT) |
Family Nurse Practitioner: Definition to come...
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About NPI 1114038882
Jacke L. Corbett, APRN's National Provider Identifier is 1114038882, issued on Aug 31, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Salt Lake City, UT. The record was last updated on Nov 12, 2021.