Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KARISSA KEAGAN JACKSON, ACNPC-AG
ActiveKARISSA KEAGAN JACKSON, ACNPC-AG is a Acute Care Nurse Practitioner healthcare provider located in PARK CITY, Utah. NPI 1164055109 is currently active in the NPPES registry. Verify at CMS.
Acute Care Nurse Practitioner · PARK CITY, UT
Registration Details
- NPI Number
- 1164055109
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 18, 2020 (6.4427923326982 yrs)
- Last Updated
- Jun 2, 2024
- License
-
7120828-4405 (UT)
Practice Information
- Address
-
1776 PARK AVE STE 211PARK CITY, UT, 840605148Browse UT providers · Browse ZIP 84060
- Phone
- 3854643980
- Fax
- 3854643990
- Primary Specialty
-
Acute Care Nurse Practitioner
363LA2100X
Other Acute Care Nurse Practitioner Providers in PARK CITY, UT
| Name | Credential | NPI |
|---|---|---|
| ALEXANDER JOHN KALKE | AGACNP | 1457200735 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.