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

Robert Tyrone Jackson

Individual provider Peer Specialist · NPI 1043181613

Robert Tyrone Jackson is a Peer Specialist in Yakima, Washington. Licensed in Washington. Registered with an NPI since 2025.

Licensed in
WA
In the registry since
2025

Practice location Address checks out

120 S 3rd St
Yakima, WA 98901-2875
Phone: (509) 571-1537
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence CG-70001630 (WA)

Record details

NPI number1043181613
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 16, 2025
Last updated in NPPESSeptember 16, 2025
Certification dateSeptember 16, 2025

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