Individual
CHRISTINE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2260 WRIGHTSBORO RD, AUGUSTA, GA 30904-4764
(706) 481-7619
Mailing address
8 KNOLLWOOD BLVD, NORTH AUGUSTA, SC 29841-2123
(803) 441-8331
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN157911
GA
Other
Enumeration date
11/01/2008
Last updated
11/01/2008
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