Individual provider · Type 1 NPI

Colton Jackson, NP

Family Nurse Practitioner · Salem, UT

NPI number 1942029152 Active

Practice location

555 W State Road 164
Salem, UT 84653-5732

Fax (801) 798-8961

Mailing address

1055 N 500 W, Attn: Credentialing
Provo, UT 84604

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X9420231-4405 (UT)

Family Nurse Practitioner: Definition to come...

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About NPI 1942029152

Colton Jackson, NP's National Provider Identifier is 1942029152, issued on Oct 4, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Salem, UT. The record was last updated on Oct 4, 2024.