National Provider Identifier Database

CHRISTINE E JACKSON, CPNP, RN – NPI #1811418981
Pediatrics


Contact Information

CHRISTINE E JACKSON, CPNP, RN
41 E 1140 N STE B
SARATOGA SPRINGS, UT84045
Phone: 801-407-6500
Fax:
Website:
Specialty Taxonomy Code
* Pediatrics 363LP0200X
Registered Nurse 163W00000X

* Indicates primary specialty

NPI Profile & details for CHRISTINE E JACKSON

NPI Number 1811418981
Credentials CPNP, RN
Entity Individual
Enumeration date 06/29/2017
Last updated 03/04/2024 - About 2 years ago
Sole proprietor1 No
Identifiers
  • NY License #: 714498-1
  • UT License #: 9523223-3102
  • UT License #: 9523223-4405
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for CHRISTINE E JACKSON, CPNP, RN

There are currently no reviews for CHRISTINE E JACKSON, CPNP, RN


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