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

Jacklyn Wang, RDN

Individual provider Registered Dietitian · NPI 1720884380

Jacklyn Wang, RDN is a Registered Dietitian in Provo, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2025
What do these letters mean?
RDN — Registered Dietitian Nutritionist
The current title for a registered dietitian.

See every abbreviation used in this directory →

Practice location Address checks out

1963 N Canyon Rd Apt 107
Provo, UT 84604-1638
Phone: (385) 283-1234
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 14196615-4901 (UT)

Record details

NPI number1720884380
Entity typeIndividual (Type 1)
GenderFemale
Credentials RDN
Sole proprietorYes
NPI enumeratedFebruary 24, 2025
Last updated in NPPESFebruary 24, 2025
Certification dateFebruary 23, 2025
Mailing address1963 N Canyon Rd Apt 107, Provo, UT 84604-1638

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