Karissa Keagan Jackson
ACNPC-AG | Nurse Practitioner - Acute Care | 6+ years Exp
1776 Park Ave Ste 211, Park City
Utah, 84060-5148
385-464-3980
Accepts Medicare Nurse Anesthetist in Park City, Utah.Karissa Keagan Jackson is a Park City, Utah based nurse practitioner with 6 years of experience in Acute Care. She completed her graduation in 2019. and . She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Karissa Keagan Jackson is 7120828-4405 for Acute Care in Utah. Her current practice location is 1776 Park Ave Ste 211, Park City. Patients can reach her at 385-464-3980 or can fax her at 385-464-3990. Karissa Keagan Jackson is ACNPC-AG with specialization in Acute Care and her NPI number (Unique professional ID assigned by NPPES) is 1164055109.
Karissa Keagan Jackson is a licensed independent practitioner and may autonomously provide care. She provides advanced nursing care across the continuum of health care services to meet the specialized physiologic and psychological needs of patients with acute, critical, and/or complex chronic health conditions. This care is continuous and comprehensive and may be provided in any setting where the patient may be found.
Complete Profile:
Karissa Keagan Jackson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Karissa Keagan Jackson |
| Specialization: | Acute Care Nurse Practitioner (ACNP) |
| Gender: | Female |
| Credentials: | ACNPC-AG |
| Experience: | 6+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2019 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 1776 Park Ave Ste 211, Park City, Utah, 84060-5148 |
| Phone: | 385-464-3980 |
| Fax: | 385-464-3990 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 4183042666 |
| Enrollment ID: | I20200915002665 |
| NPI Number: | 1164055109 |
| NPI Enumeration Date: | 18 Feb, 2020 |
| NPI Last Update On: | 02 Jun, 2024 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Karissa Keagan Jackson are as mentioned below.
| License Number | Specialization | State | Status | |
| 7120828-4405 | Acute Care | Utah | Primary | |
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (460010) | Murray, UT | Acute Care Hospital |
| (460049) | Murray, UT | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Karissa Keagan Jackson is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Intermountain Healthcare Services, Inc (1850209420) | 2442 |
| Neurosurgical Associates Llc (4587578224) | 10 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Karissa Keagan Jackson 1776 Park Ave Ste 211, Park City, Utah |
| Zip: | 84060-5148 |
| Phone Number: | 385-464-3980 |
| Fax Number: | 385-464-3990 |
Patients can reach Karissa Keagan Jackson at
1776 Park Ave Ste 211, Park City, Utah or can
call to book an appointment on 385-464-3980.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.