Individual
CHRISTINA MICHELLE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2000 MEADE PKWY, STE 150, SUFFOLK, VA 23434-4259
(757) 934-9314
(757) 539-7523
Mailing address
PO BOX 7068, PORTSMOUTH, VA 23707-0068
(757) 686-3508
(757) 686-0541
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0102203826
VA
207V00000X
Obstetrics & Gynecology Physician
0116023927
VA
Other
Enumeration date
06/17/2011
Last updated
11/22/2016
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