Katrien Jack, PA-C

NPI #1366024390 in Roy, Utah

Provider Information

NPI Number: 1366024390
Entity Type: Individual
Name: Katrien Jack, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Apr 28, 2021
Last Updated: Nov 21, 2025

Practice Location

Address: 1915 W 5950 S
City: Roy
State: Utah
ZIP Code: 84067-1454
Phone: (801) 387-8100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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