Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ellie Jackson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1093697617

Ellie Jackson is a Student in an Organized Health Care Education/Training Program in Salt Lake City, Utah. Registered with an NPI since 2025.

In the registry since
2025

Practice location Partly verified

Some contact details are missing from the federal record.

University Of Utah School Of Medicine 27 S Mario Capecchi Dr
Salt Lake City, UT 84113
Phone: (801) 581-7498
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1093697617
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 24, 2025
Last updated in NPPESJuly 24, 2025
Certification dateJuly 9, 2025

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