Robert C. Jackson

Peer Specialist · Hoopa, CA

Individual Active NPI

NPI number 1164343869

Practice location

539 Airport Rd
Hoopa, CA 95546-0539
Phone
(530) 625-4261
Fax
(530) 618-5773

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NPI record

NPI
1164343869
Entity type
Individual (Type 1)
Enumeration date
July 21, 2026
Last updated
July 21, 2026
Certified
July 1, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Peer Specialist Primary 175T00000X — CA

Mailing address

PO Box 821
Hoopa, CA 95546-0821
Phone
(530) 625-4261
Fax
(530) 618-5773

About Robert Jackson

Robert C. Jackson is a healthcare provider registered in the NPI registry with the primary taxonomy Peer Specialist (code 175T00000X). The practice location is 539 Airport Rd, Hoopa, CA 95546-0539. The NPI number 1164343869 was assigned on July 21, 2026 and the record was last updated on July 21, 2026.

Frequently asked questions

What is the NPI number of Robert C. Jackson?

The NPI number is 1164343869.

What is the phone number of Robert Jackson?

The phone number listed for the practice location is (530) 625-4261.

Where is Robert Jackson located?

539 Airport Rd, Hoopa, CA 95546-0539.

What is the taxonomy code for Robert Jackson?

The primary taxonomy code is 175T00000X – Peer Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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