SearchIdaho363L00000X

Robert Jackson, DNP, FNP-C

NPI 1881076230 · on the registry since 2015

Practice

Address
1090 W Park Pl
Coeur D Alene, ID 83814
Phone
(208) 415-0299
Fax
(208) 625-2070
Organisation at this address
Dirne Health Centers Inc
Dirne Health Centers Inc
Dirne Health Centers, Inc
Laboratory Corporation Of America
Inferred from a shared address, not stated in the registry.
Clinicians at this address
62

Registry record

Primary taxonomy
363L00000X
363L00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-08-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho