CALEB R JACKSON

ALPINE, UT
NPI1275926149
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: UT  347183-4405)
Enumeration Date2015-03-16
Last Update Date2026-01-08
Business Address
CALEB R JACKSON FNP
375 S MAIN ST
ALPINE, UT 84004-2008
Phone number: 801-891-5788
Mailing Address
CALEB R JACKSON FNP
375 S MAIN ST
ALPINE, UT 84004-2008
Phone number: 801-891-5788