Individual
CHRISTANN L JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4815 LIBERTY AVENUE, SUITE GR59, PITTSBURGH, PA 15224-2156
(412) 578-3951
(412) 578-1587
Mailing address
4815 LIBERTY AVENUE, SUITE GR59, PITTSBURGH, PA 15224-2156
(412) 578-3951
(412) 578-1587
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
MD025329E
PA
207V00000X
Obstetrics & Gynecology Physician
MD025329E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001159026
—
PA
Enumeration date
08/04/2006
Last updated
01/02/2018
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