MR. ROBERT ALLAN JACKSON PA-C
NPI 1174736029
Physician Assistant in Pekin, IL

Active since May 08, 2007
2109 BROOKVIEW TER APT B, PEKIN, IL 61554(309) 347-7543 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Robert Allan Jackson Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ROBERT ALLAN JACKSON PA-C (NPI 1174736029) is an individual physician assistant in Pekin, Illinois and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1174736029
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. ROBERT ALLAN JACKSONCredential: PA-C
Location Address2109 BROOKVIEW TER APT BPekin, IL 61554-7320
Mailing Address2109 Brookview Ter Apt BPekin, IL 61554-7320 · (309) 347-7543
Sole ProprietorNo
Enumeration DateMay 8, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1174736029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2109 BROOKVIEW TER APT B, Pekin, IL 61554

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Jackson's NPI number?

The NPI number for Robert Jackson is 1174736029. It was assigned to this individual provider in the NPPES registry on May 8, 2007.

Where is Robert Jackson located?

Robert Jackson practices at 2109 Brookview Ter Apt B, Pekin, IL 61554. The listed phone number is (309) 347-7543.

What is Robert Jackson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Robert Jackson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.