Jackson, Karissa Keagan
Jackson, Karissa Keagan is an individual health care provider with primary practice located at 1776 Park Ave Ste 211 , Park City UT 84060-5148. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Jackson, Karissa Keagan can be contacted via phone (385) 464-3980.Contact Information
Primary practice address
1776 Park Ave Ste 211
Park City UT 84060-5148
Phone: (385) 464-3980
Fax: (385) 464-3990
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 7120828-4405 | Utah |
Profile Details
| NPI number | 1164055109 |
|---|---|
| LBN Legal business name | Jackson, Karissa Keagan |
| Credentials | ACNPC-AG |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 18th, 2020 |
| Last updated | Jun 2nd, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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