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Individual
CHRISTY NICHOLE JACKSON
Active
Individual
CHRISTY NICHOLE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
743083
TX
261QF0400X
Federally Qualified Health Center (FQHC)
743083
TX
261QP2300X
Primary Care Clinic/Center
743083
TX
367A00000X
Advanced Practice Midwife
Primary
001534
NY
367A00000X
Advanced Practice Midwife
Primary
743083
TX
Other
Enumeration date
07/06/2010
Last updated
09/15/2026
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