Individual provider · Type 1 NPI

Jordan Mitchell Packham, PA

Physician Assistant · Salt Lake City, UT

NPI number 1447005681 Active

Practice location

100 N Mario Capecchi Dr
Salt Lake City, UT 84113-1103

Call (801) 662-1000 Map

Mailing address

PO Box 30180
Salt Lake City, UT 84130-0180

Other practice locations

  • 996 S 200 E Apt 105, Salt Lake City, UT 84111-4253 · (970) 818-1390

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X14305753-1206 (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 1447005681

Jordan Mitchell Packham, PA's National Provider Identifier is 1447005681, issued on Apr 22, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Sep 2, 2026.