Provider Demographics
NPI:1407150337
Name:MEDDOWS-JACKSON, CHRISTINA KAY (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:KAY
Last Name:MEDDOWS-JACKSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:621 S NEW BALLAS RD
Mailing Address - Street 2:STE. 4005
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-8232
Mailing Address - Country:US
Mailing Address - Phone:314-251-4776
Mailing Address - Fax:314-567-1846
Practice Address - Street 1:621 S NEW BALLAS RD
Practice Address - Street 2:STE. 4005
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-8232
Practice Address - Country:US
Practice Address - Phone:314-251-4776
Practice Address - Fax:314-567-1846
Is Sole Proprietor?:No
Enumeration Date:2011-01-06
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036164144207V00000X
MO2012003470207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology