Jackson, Holly

Jackson, Holly is an individual health care provider with primary practice located at 2040 Murray Holladay Rd Ste 205 , Salt Lake City UT 84117-5197. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Jackson, Holly can be contacted via phone (801) 274-0299.

Contact Information

Primary practice address
2040 Murray Holladay Rd Ste 205 Salt Lake City UT 84117-5197
Phone: (801) 274-0299
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 6683403-3101 Utah

Profile Details

NPI number 1083882278
LBN Legal business name Jackson, Holly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 11th, 2008
Last updated Feb 11th, 2008 - about 18 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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