Holly Jackson in Salt Lake City - Licensed Practical Nurse
Holly Jackson - NPI 1083882278
Holly Jackson is a Licensed Practical Nurse in Salt Lake City, Utah. Holly Jackson practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Holly Jackson is 1083882278. The last update date is 2008-02-11.
Holly Jackson's current location address is 2040 Murray Holladay Rd Ste 205, Salt Lake City, Utah. You can contact this provider via phone number 8012740299. The mailing address for Holly Jackson is 2040 Murray Holladay Rd Ste 205, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Holly Jackson |
|---|---|
| Address | 2040 Murray Holladay Rd Ste 205, Salt Lake City, Utah |
| Phone Number | 8012740299 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1083882278 |
|---|---|
| Provider Enumeration Date | 2008-02-11 |
| Last Updated Date | 2008-02-11 |
Provider Mailing Address Detail
| Address | 2040 Murray Holladay Rd Ste 205 |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841175197 |
| Phone Number | 8012740299 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | 6683403-3101 |
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Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Holly Jackson by the Centers for Medicare & Medicaid Services?
The Holly Jackson has been issued the NPI (National Provider Identifier) 1083882278 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Holly Jackson is geographically located?
The Holly Jackson is physically situated at the following location: 2040 Murray Holladay Rd Ste 205, Salt Lake City, UT, 841175197.
What is Holly Jackson's area of expertise and its corresponding taxonomy classification?
The Holly Jackson's field of specialization is Licensed Practical Nurse, and it falls under the taxonomy code 164W00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1083882278 to Holly Jackson?
The Centers for Medicare & Medicaid Services assigned the 1083882278 to Holly Jackson on 2008-02-11.
As of what date were the details pertaining to Holly Jackson last refreshed?
The information related to the Holly Jackson, including its address, specialty, and other relevant details, was last updated on 2008-02-11.