Healthcare Provider Details

I. General information

NPI: 1992082556
Provider Name (Legal Business Name): SARAH JANE JACKSON BROWN DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH JACKSON DNP

II. Dates (important events)

Enumeration Date: 11/10/2011
Last Update Date: 11/07/2025
Certification Date: 11/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12000 E BIG COTTONWOOD CANYON RD
BRIGHTON UT
84121-9710
US

IV. Provider business mailing address

PO BOX 800022
KANSAS CITY MO
64180-0022
US

V. Phone/Fax

Practice location:
  • Phone: 801-533-2002
  • Fax: 801-323-9546
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number6459721-4405
License Number StateUT
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number6459721-4405
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: