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

Holly Jackson

Individual provider Licensed Practical Nurse · NPI 1083882278

Holly Jackson is a Licensed Practical Nurse in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2008.

Licensed in
UT
In the registry since
2008

Practice location Address checks out

2040 Murray Holladay Rd Ste 205
Salt Lake City, UT 84117-5197
Phone: (801) 274-0299
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 6683403-3101 (UT)

Record details

NPI number1083882278
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 11, 2008
Last updated in NPPESFebruary 11, 2008

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