Eileen Keenan Jackson in Moroni - Family Medicine

Eileen Keenan Jackson - NPI 1518906320

Eileen Keenan Jackson is a Family Medicine in Moroni, Utah. Eileen Keenan Jackson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Eileen Keenan Jackson is 1518906320. The last update date is 2015-03-23.

Eileen Keenan Jackson's current location address is 51 E Main St., Moroni, Utah. You can contact this provider via phone number 4354365250 and fax number 4354365262. The mailing address for Eileen Keenan Jackson is 51 E Main St., Moroni, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Name Eileen Keenan Jackson
Address 51 E Main St., Moroni, Utah
Phone Number 4354365250
Fax Number 4354365262
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1518906320
Provider Enumeration Date 2006-06-06
Last Updated Date 2015-03-23

Provider Mailing Address Detail

Address 51 E Main St.
City Moroni
State Utah (UT)
Post Code 84646
Phone Number 4354365250
Fax Number 4354365262

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 3687031205
Definition:
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 i

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FAQs about Eileen Keenan Jackson

What is the unique 10-digit identifier code issued to Eileen Keenan Jackson by the Centers for Medicare & Medicaid Services?

The Eileen Keenan Jackson has been assigned the NPI (National Provider Identifier) 1518906320 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Eileen Keenan Jackson's facilities are situated?

The facilities of Eileen Keenan Jackson are physically located at the following address: 51 E Main St., Moroni, UT, 84646.

What is Eileen Keenan Jackson's area of expertise and its corresponding taxonomy classification?

The Eileen Keenan Jackson's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Eileen Keenan Jackson receive the assignment of its 1518906320 from the Centers for Medicare & Medicaid Services?

The Eileen Keenan Jackson was issued its 1518906320 by the Centers for Medicare & Medicaid Services on 2006-06-06.

As of what date was the information pertaining to Eileen Keenan Jackson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Eileen Keenan Jackson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-03-23.

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