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
Phone: (801) 277-2682
Fax: (801) 277-2980
Website:
Health care specialties
| Specialty | Code | License # | 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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