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

Vicki L Jackman, APRN

Individual provider Nurse Practitioner · NPI 1154376077

Vicki L Jackman, APRN is a Nurse Practitioner in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2006.

Licensed in
UT
In the registry since
2006
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

4624 Holladay Blvd
Salt Lake City, UT 84117-5206
Phone: (801) 277-2682
Fax: (801) 277-2980
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 295232-4405 (UT)

Record details

NPI number1154376077
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedMay 23, 2006
Last updated in NPPESOctober 21, 2021
Certification dateOctober 21, 2021

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