Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Christopher Robert Jackson

Individual provider Emotionally Disturbed Childrens' Residential Treatment Facility · NPI 1417502998

Christopher Robert Jackson is an Emotionally Disturbed Childrens' Residential Treatment Facility in North Pole, Alaska. Practices as a sole proprietor. Licensed in Alaska.

Licensed in
AK
In the registry since
2019

Practice location Address checks out

1502 Liatris Ln
North Pole, AK 99705-5082
Phone: (907) 385-5733
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emotionally Disturbed Childrens' Residential Treatment Facility (primary) Taxonomy 322D00000X · Licence 523381 (AK)

Record details

NPI number1417502998
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 1, 2019
Last updated in NPPESAugust 1, 2019

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