Jackie Neilson

NPI #1447100557 in Enterprise, Utah

Provider Information

NPI Number: 1447100557
Entity Type: Individual
Name: Jackie Neilson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jan 29, 2026
Last Updated: Jan 29, 2026

Practice Location

Address: 1528 E 1300 N
City: Enterprise
State: Utah
ZIP Code: 84725
Phone: (435) 414-5505

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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