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Robert Jackson
NPI 1174009039 · Peer Specialist · Nowata, OK
Robert Jackson is a Peer Specialist provider in Nowata, OK (NPI 1174009039).
Provider details
- NPI number
- 1174009039
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
114 W Delaware Ave
Nowata, OK 74048
Phone: (918) 273-1841
Street-level locationGet directions
Mailing address
114 W Delaware Ave
Nowata, OK 74048-2601
Registry dates
- Enumerated
- 2018-07-13
- Last updated
- 2018-08-13
Frequently asked questions
- What is Robert Jackson's NPI number?
- Robert Jackson's National Provider Identifier (NPI) is 1174009039, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Robert Jackson's specialty?
- Robert Jackson is listed in the NPPES registry with a primary specialty of Peer Specialist (Other Service Providers).
- Where is Robert Jackson located?
- Robert Jackson's practice location on file with NPPES is 114 W Delaware Ave, Nowata, OK 74048.
- What is Robert Jackson's phone number?
- The practice phone number listed in the NPPES registry for Robert Jackson is (918) 273-1841.
- Is Robert Jackson's NPI active?
- Yes — Robert Jackson's NPI (1174009039) is active in the NPPES registry as of the last update on 2018-08-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.