IndividualActive
London Jackson, FNP-C
NPI 1902416795 · Primary Care Nurse Practitioner · Springville, UT
Provider details
- NPI number
- 1902416795
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- Yes
- License
- 8735023-4405 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
405 S Main St
Springville, UT 84663-2252
Phone: (801) 491-2238
Approximate (ZIP-level) locationGet directions
Mailing address
405 S Main St
Springville, UT 84663-2252
Registry dates
- Enumerated
- 2020-08-06
- Last updated
- 2020-08-06
- Certified
- 2020-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.