Provider Demographics
NPI:1003790742
Name:PERKINS, CHRISTIANA MICHELLE
Entity type:Individual
Prefix:DR
First Name:CHRISTIANA
Middle Name:MICHELLE
Last Name:PERKINS
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:CHRISTIANA
Other - Middle Name:
Other - Last Name:PERKINS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CHRISTIANA PERKINS
Mailing Address - Street 1:630 SAILFISH DR E
Mailing Address - Street 2:
Mailing Address - City:ATLANTIC BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32233-4233
Mailing Address - Country:US
Mailing Address - Phone:904-870-0099
Mailing Address - Fax:
Practice Address - Street 1:1190 EDGEWOOD AVE W STE 3
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32208-3458
Practice Address - Country:US
Practice Address - Phone:904-721-5464
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-05
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH15445111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor