| Holly Jackson, | |
|
2040 Murray Holladay Rd Ste 205, Salt Lake City, UT 84117-5197 | |
| (801) 274-0299 | |
| Not Available |
| Full Name | Holly Jackson |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 2040 Murray Holladay Rd Ste 205, Salt Lake City, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083882278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 6683403-3101 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Holly Jackson, 2422 Cobblestone Way, Sandy, UT 84093-1884 Ph: () - | Holly Jackson, 2040 Murray Holladay Rd Ste 205, Salt Lake City, UT 84117-5197 Ph: (801) 274-0299 |
Ms. Crystal Renee Cox, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 5965 S 900 E, Salt Lake City, UT 84121 Phone: 801-263-7100 | |
Danielle Watson, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 5965 S 900 E, Salt Lake City, UT 84121 Phone: 801-263-7100 | |
Lorie Lee Pierce, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 5965 S 900 E, Salt Lake City, UT 84121 Phone: 801-263-7100 | |
Amber Gregg, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 344 E 100 S, Suite 301, Salt Lake City, UT 84111 Phone: 801-322-4257 | |
Melissa Nelson, L.P.N. Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 5965 S 900 E, Salt Lake City, UT 84121 Phone: 801-263-7100 | |
C Scot Mccusker, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 344 E 100 S Ste 301, Salt Lake City, UT 84111 Phone: 801-428-4257 |