Individual provider · Type 1 NPI
Jackie Neilson
Student in an Organized Health Care Education/Training Program · Enterprise, UT
NPI number
1447100557
Active
Practice location
1528 E 1300 N
Enterprise, UT 84725
Mailing address
PO Box 995
Enterprise, UT 84725-0995
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
About NPI 1447100557
Jackie Neilson's National Provider Identifier is 1447100557, issued on Jan 29, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Enterprise, UT. The record was last updated on Jan 29, 2026.