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

Ryan Jackson

Individual provider Community Health Worker · NPI 1336911288

Ryan Jackson is a Community Health Worker in Slc, Utah. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

1875 S Redwood Rd
Slc, UT 84104-5112
Phone: (801) 363-9400
Show map & directions

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

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X

Record details

NPI number1336911288
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 24, 2023
Last updated in NPPESOctober 24, 2023
Certification dateOctober 24, 2023
Mailing address1875 S Redwood Rd, Slc, UT 84104-5112

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