Individual provider · Type 1 NPI

Jacqueline Zickella

Student in an Organized Health Care Education/Training Program · Salt Lake City, UT

NPI number 1659116077 Active

Practice location

480 E South Temple Apt 519
Salt Lake City, UT 84111-1325

Call (904) 814-9196 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone 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.

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About NPI 1659116077

Jacqueline Zickella's National Provider Identifier is 1659116077, issued on Jun 27, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Salt Lake City, UT. The record was last updated on Jun 27, 2024.