MRS. ROBIN JACKSON NPI 1720647670

NPI Information

  • NPI: 1720647670
  • Provider Name: MRS. ROBIN JACKSON
  • Classification: Registered Nurse - 163WP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 21121 CHRISTINA DR
    MATTESON, IL
    ZIP 60443
  • Phone: (312) 218-7409

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NPI Details

MRS. Robin Jackson is a psychiatric/mental health registered nurse in Matteson, IL. MRS. Robin Jackson NPI is 1720647670. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

21121 CHRISTINA DR
MATTESON, IL
ZIP 60443-003
Phone: (312) 218-7409

The enumeration date for this NPI number is 6/12/2019 and was last updated on 6/12/2019.

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
1163WP0808XRegistered NursePsychiatric/Mental Health28208253AINDIANANo
2163WP0808XRegistered NursePsychiatric/Mental Health041413313ILLINOISYes

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

NPI Synchronization or Removal

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