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Holly Jackson
NPI 1083882278 · on the registry since 2008
Practice
- Address
- 2040 Murray Holladay Rd Ste 205
Salt Lake City, UT 84117 - Phone
- (801) 274-0299
- Organisation at this address
- Carl Kent Hebdon Md Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- Licensed Practical Nurse
164W00000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-02-11
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