IndividualActive
Jacqueline Latham, RN
NPI 1366813552 · Registered Nurse · Blanding, UT
Provider details
- NPI number
- 1366813552
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- 5648004-3102 (UT)
Specialties & taxonomies
Nursing Service Providers
Practice location
196 E Center St
Blanding, UT 84511-2921
Phone: (435) 678-2723
Approximate (ZIP-level) locationGet directions
Mailing address
196 E Center St
Blanding, UT 84511-2921
Registry dates
- Enumerated
- 2015-10-13
- Last updated
- 2015-10-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.