Individual
MEGAN S JACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2505 E 3300 S STE 102, SALT LAKE CITY, UT 84109-2763
(385) 333-6000
Mailing address
2505 E 3300 S STE 102, SALT LAKE CITY, UT 84109-2763
(385) 333-6000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
370615-4405
UT
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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