Sheldon Jackson, PA

NPI #1003829086 in Layton, Utah

Provider Information

NPI Number: 1003829086
Entity Type: Individual
Name: Sheldon Jackson, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Aug 14, 2006
Last Updated: Dec 7, 2007

Practice Location

Address: 1240 E HIGHWAY 193
Address 2: SUITE G-1
City: Layton
State: Utah
ZIP Code: 84040-8544
Phone: (801) 771-1331

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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