CHRISTINE JACKSON M.D. – NPI #1114087996
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CHRISTINE JACKSON is a physician located in GUNNISON, UT. NPPES has assigned the NPI number 1114087996 to CHRISTINE JACKSON on December 11, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 13 years ago on Jan 17, 2013. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHRISTINE JACKSON below.

NPI Profile for
CHRISTINE JACKSON

NPI Number
1114087996
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
CHRISTINE JACKSON
Credentials
M.D.
Primary location
65 EAST 100 NORTH
GUNNISON, UT 84634-0759
Phone: (435) 528-2130 Fax: (435) 528-2197
Mailing address
1055 N 500 W
PROVO, UT 84604-3305
Phone: (801) 354-8225 Fax: (801) 418-0941
Sole Proprietor
No
Updated
Identifiers

Identifiers for CHRISTINE JACKSON

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDUT870212456036
MEDICAIDUTDO972
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
UT 2870211205

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.