Individual
JARED GLEN JACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1000 N MAIN ST, RICHFIELD, UT 84701-2061
(435) 893-1850
Mailing address
1000 N MAIN ST, RICHFIELD, UT 84701-2061
(435) 893-4100
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10304622-1206
UT
Other
Enumeration date
10/25/2016
Last updated
02/28/2022
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