Heather Kaye Jackson

Developmentally Disabled Services Day Training Agency · Provo, UT

Individual Active NPI

NPI number 1720863764

Practice location

1200 Towne Centre Blvd SPC 1142
Provo, UT 84601-2941
Phone
(972) 658-4509

Open in Google Maps

NPI record

NPI
1720863764
Entity type
Individual (Type 1)
Enumeration date
August 29, 2023
Last updated
August 29, 2023
Certified
August 29, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Developmentally Disabled Services Day Training Agency Primary 251C00000X F23-104260 UT

Mailing address

312 Meadowlark Dr
Alpine, UT 84004-1371
Phone
(972) 658-4509

About Heather Jackson

Heather Kaye Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Developmentally Disabled Services Day Training Agency (code 251C00000X). The practice location is 1200 Towne Centre Blvd SPC 1142, Provo, UT 84601-2941. The NPI number 1720863764 was assigned on August 29, 2023 and the record was last updated on August 29, 2023.

Heather Jackson lists a license in the registry: #F23-104260 (UT) for Developmentally Disabled Services Day Training Agency. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Heather Kaye Jackson?

The NPI number is 1720863764.

What is the phone number of Heather Jackson?

The phone number listed for the practice location is (972) 658-4509.

Where is Heather Jackson located?

1200 Towne Centre Blvd SPC 1142, Provo, UT 84601-2941.

What is the taxonomy code for Heather Jackson?

The primary taxonomy code is 251C00000X – Developmentally Disabled Services Day Training Agency.

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.

Other Developmentally Disabled Services Day Training Agency providers in Provo

All Developmentally Disabled Services Day Training Agency providers in Provo, UT →