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

Jacob Hamilton Pankratz

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1134730021

Jacob Hamilton Pankratz is a Student in an Organized Health Care Education/Training Program in Provo, Utah. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

750 N Freedom Blvd
Provo, UT 84601-1677
Phone: (801) 373-4760
Fax: (801) 373-0639
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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 number1134730021
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 13, 2020
Last updated in NPPESJuly 30, 2025
Certification dateJuly 30, 2025
Mailing address750 N Freedom Blvd, Provo, UT 84601-1677

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