Caleb R Jackson, FNP Valid NPI

Individual provider · Family Nurse Practitioner · Alpine, UT

NPI

1275926149

Type

Individual (Type 1)

Primary specialty

Family Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LF0000X

License number

347183-4405 (UT)

Sex

Male

Sole proprietor

No

Enumerated

2015-03-16

Last updated

2026-01-08