Search › Rhode Island › 101Y00000X
Christian Jackson, BACHELOR
NPI 1427460484 · on the registry since 2014
Practice
- Address
- 1443 Hartford Ave
Johnston, RI 02919 - Phone
- (401) 724-8400
- Fax
- (401) 722-5280
- Organisation at this address
- Gateway Healthcare, Inc
Gateway Health Care IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 104
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Sex
- Male
- Record last updated
- 2014-05-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Rhode Island