Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Karissa Keagan Jackson, ACNPC-AG

Individual provider Acute Care Nurse Practitioner · NPI 1164055109

Karissa Keagan Jackson, ACNPC-AG is an Acute Care Nurse Practitioner in Park City, Utah. Licensed in Utah. Registered with an NPI since 2020.

Licensed in
UT
In the registry since
2020

Practice location Address checks out

1776 Park Ave Ste 211
Park City, UT 84060-5148
Phone: (385) 464-3980
Fax: (385) 464-3990
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 7120828-4405 (UT)

Record details

NPI number1164055109
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACNPC-AG
Sole proprietorNo
NPI enumeratedFebruary 18, 2020
Last updated in NPPESJune 2, 2024
Certification dateMarch 8, 2023