IndividualActive
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
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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.