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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 Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for CHRISTINE E JACKSON · (Female)

NPI Number 1811418981
Status Active
Credentials CPNP, RN
Entity Individual
Enumeration date 06/29/2017
Last updated 03/04/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 714498-1
  • UT License # 9523223-3102
  • UT License # 9523223-4405
Hospital affiliation(s) Not Available
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.

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