CHRISTINE JACKSON M.D. NPI 1114087996

NPI Information

  • NPI: 1114087996
  • Provider Name: CHRISTINE JACKSON, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 65 EAST 100 NORTH
    GUNNISON, UT
    ZIP 84634
  • Phone: (435) 528-2130

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NPI Details

Christine Jackson, M.D. is a family medicine in Gunnison, UT. The provider is 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, M.D. NPI is 1114087996. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

65 EAST 100 NORTH
GUNNISON, UT
ZIP 84634-759
Phone: (435) 528-2130
Fax: (435) 528-2197

The enumeration date for this NPI number is 12/11/2006 and was last updated on 1/17/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine2870211205UTAHYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1DO972MEDICAIDUTAH
2G06479MEDICARE UPINUTAH
3000006001MEDICARE ID-TYPE UNSPECIFIEDUTAHMEDICARE GRP NUMBER
4006001001MEDICARE ID-TYPE UNSPECIFIEDUTAHMEDICARE PROVIDER NUMBER
5870212456036MEDICAIDUTAH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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