Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHRISTOPHER ROBERT JACKSON
Active Sole ProprietorResidential Treatment, Emotionally Disturbed Children · NORTH POLE, AK
Registration Details
- NPI Number
- 1417502998
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 1, 2019 (6.7234285493197 yrs)
- Last Updated
- Aug 1, 2019
- License
-
523381 (AK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1502 LIATRIS LNNORTH POLE, AK, 997055082Browse AK providers · Browse ZIP 99705
- Phone
- 9073855733
- Primary Specialty
-
Residential Treatment, Emotionally Disturbed Children
322D00000X
Other Residential Treatment, Emotionally Disturbed Children Providers in NORTH POLE, AK
| Name | Credential | NPI |
|---|---|---|
| MEGAN JACKSON | — | 1013505064 |
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.