Individual provider · Type 1 NPI
Caleb R. Jackson, FNP
Family Nurse Practitioner · Alpine, UT
NPI number
1275926149
Active
Practice location
375 S Main St
Alpine, UT 84004-2008
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 347183-4405 (UT) |
Family Nurse Practitioner: Definition to come...
Other family nurse practitioner providers in Alpine
About NPI 1275926149
Caleb R. Jackson, FNP's National Provider Identifier is 1275926149, issued on Mar 16, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Alpine, UT. The record was last updated on Jan 8, 2026.