DR. EDWARD WILLIAM JACKSON MD NPI 1487367728

NPI Information

NPI: 1487367728
Provider Name: DR. EDWARD WILLIAM JACKSON, MD
Classification: Family Medicine - 207QA0505X
Entity Type: Individual

Specialization: Adult Medicine

Address:
786 S LEFT HAND FORK HOBBLE CREEK CYN
SPRINGVILLE, UT
ZIP 84663
Phone: (801) 489-9381
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DR. Edward William Jackson, MD is an adult medicine family medicine in Springville, UT. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. DR. Edward William Jackson, MD NPI is 1487367728. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

786 S LEFT HAND FORK HOBBLE CREEK CYN
SPRINGVILLE, UT
ZIP 84663-916
Phone: (801) 489-9381

The enumeration date for this NPI number is 1/2/2023 and was last updated on 1/2/2023.

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
1	207QA0505X	Family Medicine	Adult Medicine	183721-1205	UTAH	Yes
2	207Q00000X	Family Medicine		183721-1205	UTAH	No

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: 5/5/2024

NPI Synchronization or Removal

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