Katrien Jack, PA-C
Physician Assistant · Roy, UT
Practice location
1915 W 5950 SRoy, UT 84067-1454
- Phone
- (801) 387-8100
NPI record
- NPI
- 1366024390
- Entity type
- Individual (Type 1)
- Enumeration date
- April 28, 2021
- Last updated
- November 21, 2025
- Certified
- November 21, 2025
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X |
13028685-1206 | UT |
Mailing address
PO Box 27128Salt Lake City, UT 84127-0128
Other practice locations (1)
- 1351 W 200 N, Kaysville, UT 84037 · (801) 383-3420
About Katrien Jack
Katrien Jack, PA-C is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 1915 W 5950 S, Roy, UT 84067-1454. The NPI number 1366024390 was assigned on April 28, 2021 and the record was last updated on November 21, 2025.
Katrien Jack lists a license in the registry: #13028685-1206 (UT) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Katrien Jack, PA-C?
The NPI number is 1366024390.
What is the phone number of Katrien Jack?
The phone number listed for the practice location is (801) 387-8100.
Where is Katrien Jack located?
1915 W 5950 S, Roy, UT 84067-1454.
What is the taxonomy code for Katrien Jack?
The primary taxonomy code is 363A00000X – Physician Assistant.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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