Individual
KAIA MARIE JACKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3102 S RELIC RIDGE DR, SAINT GEORGE, UT 84790-8641
(385) 327-9483
Mailing address
3102 S RELIC RIDGE DR, SAINT GEORGE, UT 84790-8641
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
12656573-4405
UT
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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