Individual provider · Type 1 NPI

Karen E. Jackson, PNP

Nurse Practitioner · Sandy, UT

NPI number 1174545503 Active

Practice location

9720 S 1300 E, #100
Sandy, UT 84094-3712

Mailing address

PO Box 27128
Salt Lake City, UT 84127-0128

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X2124864405 (UT)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1174545503

Karen E. Jackson, PNP's National Provider Identifier is 1174545503, issued on Jul 24, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Sandy, UT. The record was last updated on Oct 20, 2007.