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

Taylor S. Jackson, DO

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1639757016

Taylor S. Jackson, DO is an Anatomic Pathology & Clinical Pathology Physician in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2021.

Licensed in
UT
In the registry since
2021
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

15 N Medical Dr Ste 1100
Salt Lake City, UT 84112-1100
Phone: (801) 583-2787
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 12985852-1204 (UT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1639757016
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 29, 2021
Last updated in NPPESAugust 16, 2022
Certification dateAugust 16, 2022

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