IndividualActive
Caleb Jackson, FNP
NPI 1275926149 · Family Nurse Practitioner · Alpine, UT
Provider details
- NPI number
- 1275926149
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Male
- Sole proprietor
- No
- License
- 347183-4405 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
375 S Main St
Alpine, UT 84004-2008
Phone: (801) 891-5788
Approximate (ZIP-level) locationGet directions
Mailing address
375 S Main St
Alpine, UT 84004-2008
Registry dates
- Enumerated
- 2015-03-16
- Last updated
- 2026-01-08
- Certified
- 2026-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.