Individual provider · Type 1 NPI
Robin Jackson
Psychiatric/Mental Health Registered Nurse · Matteson, IL
NPI number
1720647670
Active
Practice location
21121 Christina Dr
Matteson, IL 60443-3003
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 28208253A (IN) |
| Psychiatric/Mental Health Registered Nurse Primary | 163WP0808X | 041413313 (IL) |
Psychiatric/Mental Health Registered Nurse: Definition to come...
Another provider at this address
About NPI 1720647670
Robin Jackson's National Provider Identifier is 1720647670, issued on Jun 12, 2019. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Matteson, IL. The record was last updated on Jun 12, 2019.