Becky J Jackson
Obstetrician
5121 S Cottonwood St
Murray
, Utah 84107-5701
Becky J Jackson
Obstetrician
5121 S Cottonwood St
Murray
, Utah 84107-5701
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About
Features
Specialties
- Obstetrician
Languages spoken
- English
Location
First Address
- Becky J Jackson
- 4778 W Els Ct
- South Jordan, UT
- Zip : 84009-1215
- Phone :
Second Address
- Becky J Jackson
- 5121 S Cottonwood St
- Murray, UT
- Zip : 84107-5701
- Phone : (801) 507-7673
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VX0000X | Obstetrician | 208109-3102 | UT |
National Provider Identifier
| NPI | 1316459035 |
|---|---|
| Provider Name | Becky J Jackson |
| First Address | South Jordan, UT 84009-1215 |
| Second Address | Murray, UT 84107-5701 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/11/2017 |
| Last Update Date | 03/11/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.