Brett Taylor Jackson is a student in an organized health care education training program in Provo, UT. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Brett Taylor Jackson NPI is 1336898295. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
475 W 940 N
PROVO, UT
ZIP 84604-301
Phone: (801) 357-7940
The NPI 1336898295 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 3/19/2022 and was last updated on 3/19/2022.