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Haley W Jackson, MD
Student in an Organized Health Care Education/Training Program in Provo, Utah
NPI 1396248159

Haley W Jackson is a Student in an Organized Health Care Education/Training Program based in Springville, UT. Haley W Jackson practices in Provo, UT and has the professional credentials of MD. The NPI Number for Haley W Jackson is 1396248159 and holds a License No. 11336450-1205 (Utah).

The current practice location address for Haley W Jackson is 1900 N State St, Provo, UT and can be reached out via phone at 801-373-2001.

Location: 1900 N State St, Provo, UT, 84663-3283
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396248159
Provider Name
Haley W Jackson
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1900 N State St, Provo, UT, 84663-3283
Phone Number
801-373-2001
Fax Number
Provider Enumeration Date
03/16/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1900 N State St
City
Provo
State
Utah
Zip
84604-1341
Phone Number
801-373-2001
Fax Number
person
Provider Business Mailing Address Details
Address
1900 N State St
City
Provo
State
Utah
Zip
84604-1341
Phone Number
801-373-2001
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
()
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
11336450-1205 (Utah)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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