CHRISTY NICHOLE JACKSON

FORT SAM HOUSTON, TX
NPI1780996850
Former NameCHRISTY NICHOLE WILSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: NY  001534)
Additional Taxonomies367A00000X Advanced Practice Midwife
(Licence: TX  743083)
Enumeration Date2010-07-06
Last Update Date2020-05-26
Business Address
CHRISTY NICHOLE JACKSON CNM
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234-4504
Phone number: 210-916-1661
Mailing Address
CHRISTY NICHOLE JACKSON CNM
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234-4504
Phone number: 210-539-9582