Jared P. Spackman, PA-C

Physician Assistant · West Jordan, UT

Individual Active NPI

NPI number 1396757241

Practice location

8822 South Redwood Road
C-211
West Jordan, UT 84088-8811
Phone
(801) 563-1975
Fax
(801) 563-1984

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NPI record

NPI
1396757241
Entity type
Individual (Type 1)
Enumeration date
August 12, 2006
Last updated
November 18, 2021
Certified
November 18, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 4808078-1206 UT

About Jared Spackman

Jared P. Spackman, PA-C is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 8822 South Redwood Road, C-211, West Jordan, UT 84088-8811. The NPI number 1396757241 was assigned on August 12, 2006 and the record was last updated on November 18, 2021.

Jared Spackman lists a license in the registry: #4808078-1206 (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 Jared P. Spackman, PA-C?

The NPI number is 1396757241.

What is the phone number of Jared Spackman?

The phone number listed for the practice location is (801) 563-1975.

Where is Jared Spackman located?

8822 South Redwood Road, C-211, West Jordan, UT 84088-8811.

What is the taxonomy code for Jared Spackman?

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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