Individual
DR. CHRISTINA LYNN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1000 E MAIN ST, DANVILLE, IN 46122-1948
(317) 745-4451
(317) 718-6740
Mailing address
2625 N MERIDIAN ST APT 515, INDIANAPOLIS, IN 46208-7705
(219) 242-5680
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01078911A
IN
390200000X
Student in an Organized Health Care Education/Training Program
11018154A
IN
Other
Enumeration date
06/08/2015
Last updated
03/29/2021
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