Holly Jackson, - Licensed Practical Nurse in Salt Lake City, UT

Holly Jackson, is a Licensed Practical Nurse based in Salt Lake City, Utah. Holly Jackson is licensed to practice in Utah (license number 6683403-3101) and her current practice location is 2040 Murray Holladay Rd Ste 205, Salt Lake City, Utah. She can be reached at her office (for appointments etc.) via phone at (801) 274-0299.

NPI number for Holly Jackson is 1083882278 and her current mailing address is 2422 Cobblestone Way, Sandy, Utah. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083882278.

Contact Information

Holly Jackson,
2040 Murray Holladay Rd Ste 205,
Salt Lake City, UT 84117-5197
(801) 274-0299
Not Available



Provider's Profile

Full NameHolly Jackson
GenderFemale
SpecialityLicensed Practical Nurse
Location2040 Murray Holladay Rd Ste 205, Salt Lake City, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1083882278
  • Provider Enumeration Date: 02/11/2008
  • Last Update Date: 02/11/2008

Medical Identifiers

Medical identifiers for Holly Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083882278NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse 6683403-3101 (Utah)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Holly Jackson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Holly Jackson,
2422 Cobblestone Way,
Sandy, UT 84093-1884

Ph: () -
Holly Jackson,
2040 Murray Holladay Rd Ste 205,
Salt Lake City, UT 84117-5197

Ph: (801) 274-0299

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› Verified 8 days ago


Licensed Practical Nurse Nurses in Salt Lake City, UT

Ms. Crystal Renee Cox, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 5965 S 900 E, Salt Lake City, UT 84121
Phone: 801-263-7100    
Danielle Watson, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 5965 S 900 E, Salt Lake City, UT 84121
Phone: 801-263-7100    
Lorie Lee Pierce, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 5965 S 900 E, Salt Lake City, UT 84121
Phone: 801-263-7100    
Amber Gregg,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 344 E 100 S, Suite 301, Salt Lake City, UT 84111
Phone: 801-322-4257    
Melissa Nelson, L.P.N.
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 5965 S 900 E, Salt Lake City, UT 84121
Phone: 801-263-7100    
C Scot Mccusker, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 344 E 100 S Ste 301, Salt Lake City, UT 84111
Phone: 801-428-4257    

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