Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. EILEEN KEENAN JACKSON, MD
ActiveDR. EILEEN KEENAN JACKSON, MD is a Family Medicine healthcare provider located in MORONI, Utah. NPI 1518906320 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · MORONI, UT
Registration Details
- NPI Number
- 1518906320
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 6, 2006 (20.005177070465 yrs)
- Last Updated
- Mar 23, 2015
- License
-
3687031205 (UT)
Practice Information
- Address
-
51 E MAIN ST.MORONI, UT, 84646Browse UT providers · Browse ZIP 84646
- Phone
- 4354365250
- Fax
- 4354365262
- Primary Specialty
-
Family Medicine
207Q00000X
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.