Individual
MR. CHRISTOPHER M JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
302 KENSINGTON AVE, FLINT, MI 48503-2044
(810) 762-8400
Mailing address
204 PINE ST, CORUNNA, MI 48817-1031
(810) 449-0566
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704247130
MI
Other
Enumeration date
11/28/2018
Last updated
04/18/2019
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