SAMUEL MCCLELLAN JACOBSEN NPI 1720701766

NPI Information

  • NPI: 1720701766
  • Provider Name: SAMUEL MCCLELLAN JACOBSEN
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 201 W LAYTON PKWY STE 1A
    LAYTON, UT
    ZIP 84041
  • Phone: (801) 543-6875

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NPI Details

Samuel Mcclellan Jacobsen is a family medicine in Layton, UT. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Samuel Mcclellan Jacobsen NPI is 1720701766. 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:

201 W LAYTON PKWY STE 1A
LAYTON, UT
ZIP 84041-692
Phone: (801) 543-6875

The enumeration date for this NPI number is 9/23/2022 and was last updated on 10/17/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine14234126-1204UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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