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London Jackson, FNP-C
NPI 1902416795 · on the registry since 2020 · sole proprietor
Practice
- Address
- 405 S Main St
Springville, UT 84663 - Phone
- (801) 491-2238
- Organisation at this address
- Village Pantry #9
Pace Healthcare, Llc
The Village Pantry #9Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Primary Care Nurse Practitioner
363LP2300X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-08-06
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