Individual
CALEB R JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
375 S MAIN ST, ALPINE, UT 84004-2008
(801) 891-5788
Mailing address
375 S MAIN ST, ALPINE, UT 84004-2008
(801) 891-5788
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
347183-4405
UT
Other
Enumeration date
03/16/2015
Last updated
01/08/2026
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