Robert Allan Jackson, PA-C
Physician Assistant · Pekin, IL
NPI number
1174736029
Practice location
2109 Brookview Ter Apt BPekin, IL 61554-7320
- Phone
- (309) 347-7543
NPI record
- NPI
- 1174736029
- Entity type
- Individual (Type 1)
- Enumeration date
- May 8, 2007
- Last updated
- July 8, 2007
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X |
— | — |
About Robert Jackson
Robert Allan Jackson, PA-C is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 2109 Brookview Ter Apt B, Pekin, IL 61554-7320. The NPI number 1174736029 was assigned on May 8, 2007 and the record was last updated on July 8, 2007.
Frequently asked questions
What is the NPI number of Robert Allan Jackson, PA-C?
The NPI number is 1174736029.
What is the phone number of Robert Jackson?
The phone number listed for the practice location is (309) 347-7543.
Where is Robert Jackson located?
2109 Brookview Ter Apt B, Pekin, IL 61554-7320.
What is the taxonomy code for Robert Jackson?
The primary taxonomy code is 363A00000X – Physician Assistant.
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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