IndividualActive
Jackie Neilson
NPI 1447100557 · Student in an Organized Health Care Education/Training Program · Enterprise, UT
Provider details
- NPI number
- 1447100557
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Student, Health Care
Practice location
1528 E 1300 N
Enterprise, UT 84725
Phone: (435) 414-5505
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 995
Enterprise, UT 84725-0995
Registry dates
- Enumerated
- 2026-01-29
- Last updated
- 2026-01-29
- Certified
- 2026-01-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.