Holly Jackson
NPI #1083882278 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1083882278
- Entity Type
- Individual
- Name
- Holly Jackson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Feb 11, 2008
- Last Updated
- Feb 11, 2008
Practice Location
- Address
- 2040 MURRAY HOLLADAY RD STE 205
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84117-5197
- Phone
- (801) 274-0299
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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