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

Mr. Jared P Spackman, PA-C

Individual provider Physician Assistant · NPI 1396757241

Mr. Jared P Spackman, PA-C is a Physician Assistant in West Jordan, Utah. Licensed in Utah. Registered with an NPI since 2006.

Licensed in
UT
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

8822 S Redwood Road C-211
West Jordan, UT 84088-8811
Phone: (801) 563-1975
Fax: (801) 563-1984
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4808078-1206 (UT)

Record details

NPI number1396757241
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 12, 2006
Last updated in NPPESNovember 18, 2021
Certification dateNovember 18, 2021

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