NPI 1417502998
Christopher Robert Jackson
Practice location
- Address
- 1502 Liatris Ln, North Pole, AK 99705-5082
- Phone
- (907) 385-5733
- Mailing address
- 1680 Midland St, North Pole, AK 99705-5881
Registered specialties
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
Registry record
- NPI
- 1417502998
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 1 Aug 2019
- Record last updated
- 1 Aug 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.