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

Robert Jackson

Individual provider Peer Specialist · NPI 1174009039

Robert Jackson is a Peer Specialist in Nowata, Oklahoma. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

114 W Delaware Ave
Nowata, OK 74048
Phone: (918) 273-1841
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1174009039
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 13, 2018
Last updated in NPPESAugust 13, 2018

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