Jared Spackman, PA-C
NPI 1396757241 · Physician Assistant · West Jordan, UT
Jared Spackman, PA-C is a Physician Assistant provider in West Jordan, UT (NPI 1396757241).
Provider details
- NPI number
- 1396757241
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 4808078-1206 (UT)
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-12
- Last updated
- 2021-11-18
- Certified
- 2021-11-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.