Individual provider · Type 1 NPI
Karissa Keagan Jackson, ACNPC-AG
Acute Care Nurse Practitioner · Park City, UT
NPI number
1164055109
Active
Practice location
1776 Park Ave Ste 211
Park City, UT 84060-5148
Fax (385) 464-3990
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 7120828-4405 (UT) |
Acute Care Nurse Practitioner: Definition to come...
Another provider at this address
Other acute care nurse practitioner providers in Park City
About NPI 1164055109
Karissa Keagan Jackson, ACNPC-AG's National Provider Identifier is 1164055109, issued on Feb 18, 2020. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Park City, UT. The record was last updated on Jun 2, 2024.