Individual provider · Type 1 NPI

Vicki L. Jackman, APRN

Nurse Practitioner · Salt Lake City, UT

NPI number 1154376077 Active

Practice location

4624 Holladay Blvd
Salt Lake City, UT 84117-5206

Fax (801) 277-2980

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	295232-4405 (UT)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1154376077

Vicki L. Jackman, APRN's National Provider Identifier is 1154376077, issued on May 23, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Oct 21, 2021.