CHRISTOPHER ROBERT JACKSON NPI 1417502998

NPI Information

  • NPI: 1417502998
  • Provider Name: CHRISTOPHER ROBERT JACKSON
  • Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
  • Entity Type: Individual
  • Address: 1502 LIATRIS LN
    NORTH POLE, AK
    ZIP 99705
  • Phone: (907) 385-5733

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NPI Details

Christopher Robert Jackson is a residential treatment facility emotionally disturbed children in North Pole, AK. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. Christopher Robert Jackson NPI is 1417502998. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1502 LIATRIS LN
NORTH POLE, AK
ZIP 99705-082
Phone: (907) 385-5733

The enumeration date for this NPI number is 8/1/2019 and was last updated on 8/1/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1322D00000XResidential Treatment Facility, Emotionally Disturbed Children523381ALASKAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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