Heather A Jackson, M.D.

NPI #1023237088 in Salt Lake City, Utah

Provider Information

NPI Number: 1023237088
Entity Type: Individual
Name: Heather A Jackson, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: Apr 25, 2007
Last Updated: Apr 25, 2012

Practice Location

Address: 2295 FOOTHILL DR
City: Salt Lake City
State: Utah
ZIP Code: 84109-4000
Phone: (801) 486-3021

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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