Chase Jackman, PA

NPI #1396594339 in Provo, Utah

Provider Information

NPI Number: 1396594339
Entity Type: Individual
Name: Chase Jackman, PA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: May 13, 2024
Last Updated: Oct 10, 2025

Practice Location

Address: 1055 N 500 W STE 121, BLDG C
City: Provo
State: Utah
ZIP Code: 84604-3305
Phone: (801) 373-7350

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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