Individual provider · Type 1 NPI

Chase Jackman, PA

Physician Assistant · Provo, UT

NPI number 1396594339 Active

Practice location

1055 N 500 W Ste 121, Bldg C
Provo, UT 84604-3305

Call (801) 373-7350 Map

Fax (801) 812-5401

Mailing address

1055 N 500 W
Provo, UT 84604-3305

Other practice locations

  • 700 W 800 N Ste 100, Orem, UT 84057-6301 · (801) 373-7350

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X14246720-1206 (UT)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1396594339

Chase Jackman, PA's National Provider Identifier is 1396594339, issued on May 13, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Provo, UT. The record was last updated on Oct 10, 2025.