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NPI 1942064498

IndividualActive

Abigail Jackson

NPI 1942064498 · Case Manager/Care Coordinator · Provo, UT

Provider details

NPI number: 1942064498
Entity type: Individual
Primary specialty: Case Manager/Care CoordinatorOther Service Providers
Sex: Female
Sole proprietor: No

Practice location

750 N Freedom Blvd

Provo, UT 84601-1677

Phone: (801) 373-4760

More UT providers

Mailing address

750 N Freedom Blvd

Provo, UT 84601-1677

Registry dates

Enumerated: 2024-02-06
Last updated: 2024-02-06

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Abigail Jackson — NPI 1942064498, Provo, UT | NPI Central