# CHRISTY NICHOLE JACKSON

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1780996850
- **Gender:** F
- **Credential:** CNM

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | 001534 | NY | Yes |
| 367A00000X | Advanced Practice Midwife | 743083 | TX | Yes |

## Other

- **Enumeration date:** 07/06/2010
- **Last updated:** 09/15/2026