Sheldon Jackson, PA

NPI 1003829086 · on the registry since 2006

Practice

Address: 1240 E Highway 193
Suite G-1
Layton, UT 84040
Phone: (801) 771-1331
Organisation at this address: Professional Dental Llc
East Layton Internal Medicine Llc
Little Heroes Pediatric Hearing Clinic, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 363A00000X
363A00000X
Licence states on file: UT
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-12-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah