EDWARD W. JACKSON MD – NPI #1487367728
Family Medicine

The NUCC recommends this code not be used. Choose a more appropriate code.

EDWARD JACKSON is a physician located in SPRINGVILLE, UT. NPPES has assigned the NPI number 1487367728 to EDWARD JACKSON on January 02, 2023. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207QA0505X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Adult Medicine

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 EDWARD JACKSON below.

NPI Profile for
EDWARD W. JACKSON

NPI Number
1487367728
Enumeration Date

(more than 3 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
EDWARD W. JACKSON
Credentials
MD
Primary location
786 S LEFT HAND FORK HOBBLE CREEK CYN
SPRINGVILLE, UT 84663-5916
Phone: (801) 489-9381 Fax:
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Certification Date
Jan 02, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
207QA0505X
- Family Medicine / Adult Medicine (Primary)
UT 183721-1205
207Q00000X
- Family Medicine
UT 183721-1205

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.