Individual provider · Type 1 NPI
Jackie Candilora, BSN, RN
School Registered Nurse · South Salt Lake, UT
NPI number
1144968066
Active
Practice location
2500 S State St
South Salt Lake, UT 84115-3164
Mailing address
4731 S Atwood Blvd
Murray, UT 84107-3911
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| School Registered Nurse Primary | 163WS0200X | 379674-3102 (UT) |
School Registered Nurse: Definition to come...
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About NPI 1144968066
Jackie Candilora, BSN, RN's National Provider Identifier is 1144968066, issued on May 20, 2022. The primary taxonomy on file is School Registered Nurse (163WS0200X), and the practice location is in South Salt Lake, UT. The record was last updated on May 20, 2022.