Caleb R Jackson, FNP is a family nurse practitioner in Salt Lake City, UT with 10 years of experience. Caleb R Jackson, FNP NPI is 1275926149. 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:
1220 E 3900 S STE 4E
SALT LAKE CITY, UT
ZIP 84124-343
Phone: (801) 261-8507
Fax: (801) 261-8511
The NPI 1275926149 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Insertion of device into intervertebral disc space of spine and fusion of vertebrae (HCPCS:22853)
The enumeration date for this NPI number is 3/16/2015 and was last updated on 12/13/2023.