HomeNPI Verification

NPI Verification

National Provider Identifier: 1184740045

Robert E. Jackson, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Urology

Code: 208800000X

All Specialties (2)

Urology

Code: 208800000X

Primary

Student in an Organized Health Care Education/Training Program

Code: 390200000X

Practice Address

190 E BANNOCK ST

BOISE, ID 837126241

Phone: 208-381-2222

NPI Enumeration Date

March 22, 2007

NPI Number

1184740045

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry