VICKI L JACKMAN

SALT LAKE CITY, UT
NPI1154376077
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: UT  295232-4405)
Enumeration Date2006-05-23
Last Update Date2021-10-21
Business Address
VICKI L JACKMAN APRN
4624 HOLLADAY BLVD
SALT LAKE CITY, UT 84117-5206
Phone number: 801-277-2682
Mailing Address
VICKI L JACKMAN APRN
4624 HOLLADAY BLVD
SALT LAKE CITY, UT 84117-5206
Phone number: 801-277-2682