Individual
CHRISTIAN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
41 OLD OYSTER POINT RD STE E, NEWPORT NEWS, VA 23602-7177
(757) 223-1466
Mailing address
41 OLD OYSTER POINT RD STE E, NEWPORT NEWS, VA 23602-7177
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202011877
VA
Other
Enumeration date
06/17/2024
Last updated
06/27/2025
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