CHRISTINA MICHELLE JACKSON

SUFFOLK, VA
NPI1457646465
Former NameCHRISTINA MARY MICHELLE RICE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: VA  0102203826)
Additional Taxonomies207V00000X Obstetrics & Gynecology
(Licence: VA  0116023927)
Enumeration Date2011-06-17
Last Update Date2016-11-22
Business Address
CHRISTINA MICHELLE JACKSON DO
2000 MEADE PKWY STE 150
SUFFOLK, VA 23434-4259
Phone number: 757-934-9314
Mailing Address
CHRISTINA MICHELLE JACKSON DO
PO BOX 7068
PORTSMOUTH, VA 23707-0068
Phone number: 757-686-3508