HOLLY JACKSON – Licensed Practical Nurse, NPI 1083882278

HOLLY JACKSON is a healthcare provider. based in Salt lake city, Utah. specializing in Licensed Practical Nurse. They hold a License No. 6683403-3101 (UT). The NPI Number for HOLLY JACKSON is 1083882278

Main info

Female
Name
HOLLY JACKSON
NPI
1083882278
Phone
(801) 274-0299
Address
2040 MURRAY HOLLADAY RD STE 205
Enumeration Date
11 February 2008
Last Update Date
11 February 2008
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for HOLLY JACKSON

  • Murray Holladay Road, Holladay, Salt Lake County, Utah, 84117, United States

    SALT LAKE CITY, UT 841175197

    Phone: (801) 274-0299

    Type: Location

  • 2422, Cobblestone Way, Sandy, Salt Lake County, Utah, 84093, United States

    SANDY, UT 840931884

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84117)

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Reviews

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Frequently asked questions

What number should I use to identify HOLLY JACKSON for billing?
Administrative and clinical systems typically use NPI 1083882278 for HOLLY JACKSON.
Does the public listing show HOLLY JACKSON as active?
HOLLY JACKSON's NPI record reflects an active status in NPPES.
What type of care does HOLLY JACKSON provide?
HOLLY JACKSON's profile centers on Licensed Practical Nurse. Clinical services aligned with this taxonomy classification.
Can patients visit HOLLY JACKSON in Salt Lake City, Utah?
For routing, start with Salt Lake City, Utah for HOLLY JACKSON, then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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