Individual
ELLIE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
UNIVERSITY OF UTAH SCHOOL OF MEDICINE, 27 S. MARIO CAPECCHI DRIVE, SALT LAKE CITY, UT 84113
(801) 581-7498
Mailing address
UNIVERSITY OF UTAH SCHOOL OF MEDICINE, 27 S. MARIO CAPECCHI DRIVE, SALT LAKE CITY, UT 84113
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/24/2025
Last updated
07/24/2025
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