Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ROBERT E. JACKSON, M.D.
ActiveROBERT E. JACKSON, M.D. is a Urology healthcare provider located in BOISE, Idaho. NPI 1184740045 is currently active in the NPPES registry. Verify at CMS.
Urology · BOISE, ID
Registration Details
- NPI Number
- 1184740045
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 22, 2007 (19.404357981156 yrs)
- Last Updated
- Dec 13, 2013
- Licenses
-
4301087650 (MI)4301087650 (MI)
Practice Information
- Address
-
520 S EAGLE RDSUITE 3112BOISE, ID, 837126241Browse ID providers · Browse ZIP 83712
- Phone
- 2083812222
- Primary Specialty
-
Urology
208800000X
- Additional Specialty
- Student (Health Education/Training)
Other Urology Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| SEAN PATRICK STROUP | M.D. | 1083686117 |
| DR. STEPHEN A. BRASSELL | MD | 1538108311 |
| DR. DONALD E WALKER | MD | 1164461620 |
| DR. KARA C TAGGART | M.D. | 1124055355 |
| DR. EDWIN MANLEY BRIGGS | M.D. | 1316028889 |
| KENNETH VERLAGE | — | 1730620907 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.