Individual
BRETT TAYLOR JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1120 WELLINGTON AVE, GRAND JUNCTION, CO 81501-6129
(970) 241-6011
Mailing address
475 W 940 N, PROVO, UT 84604-3301
(801) 357-7940
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.0075175
CO
Other
Enumeration date
03/19/2022
Last updated
09/26/2025
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