Jackman, Vicki L

Jackman, Vicki L is an individual health care provider with primary practice located at 4624 Holladay Blvd , Salt Lake City UT 84117-5206. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Jackman, Vicki L can be contacted via phone (801) 277-2682.

Contact Information

Primary practice address
4624 Holladay Blvd Salt Lake City UT 84117-5206
Fax: (801) 277-2980
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 295232-4405 Utah

Profile Details

NPI number 1154376077
LBN Legal business name Jackman, Vicki L
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Oct 21st, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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