Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHRISTINE JACKSON, MD
Active Sole ProprietorCHRISTINE JACKSON, MD is a Cardiovascular Disease healthcare provider located in EAGAR, Arizona. NPI 1861476889 is currently active in the NPPES registry. Verify at CMS.
Cardiovascular Disease · EAGAR, AZ
Registration Details
- NPI Number
- 1861476889
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 2, 2005 (20.731431287999 yrs)
- Last Updated
- Jan 4, 2010
- License
-
13940 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
162 W CENTRAL AVEEAGAR, AZ, 859259707Browse AZ providers · Browse ZIP 85925
- Phone
- 9283331030
- Fax
- 9283331033
- Primary Specialty
-
Cardiovascular Disease
207RC0000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.