Individual
CHRISTINA RENEE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
7794 COLONY LAKE DR, BOYNTON BEACH, FL 33436-1310
(321) 377-8486
Mailing address
7794 COLONY LAKE DR, BOYNTON BEACH, FL 33436-1310
(321) 377-8486
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
PTA20602
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN11041870
FL
Other
Enumeration date
08/24/2020
Last updated
08/26/2025
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