Individual
JACKIE BELL AMAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1380 E MEDICAL CENTER DR, ST GEORGE, UT 84790-2123
(435) 688-4293
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
(435) 688-4293
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6920910-4405
UT
363LG0600X
Gerontology Nurse Practitioner
6920910-4405
UT
Other
Enumeration date
10/15/2024
Last updated
04/03/2026
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