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CHRISTOPHER ROBERT JACKSON
NPI 1417502998
Residential Treatment Facility, Emotionally Disturbed Children in North Pole, AK

Active since August 01, 2019
1502 LIATRIS LN, NORTH POLE, AK 99705(907) 385-5733 Get Directions Write a Review

NPPES record last updated: August 1, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Christopher Robert Jackson NPPES

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

CHRISTOPHER ROBERT JACKSON (NPI 1417502998) is an individual residential treatment facility, emotionally disturbed children provider in North Pole, Alaska, licensed in Alaska (523381) and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1417502998
Entity TypeIndividualMale
Primary Taxonomy322D00000X
Provider Legal NameCHRISTOPHER ROBERT JACKSON
Location Address1502 LIATRIS LNNorth Pole, AK 99705-5082
Mailing Address1680 Midland StNorth Pole, AK 99705-5881 · (907) 385-5733
Phone(907) 385-5733
Sole ProprietorYes
Enumeration DateAugust 1, 2019
✔ NPI 1417502998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
License✔ Licensed in AK · 523381
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
1502 LIATRIS LN, North Pole, AK 99705
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEGAN JACKSON
Residential Treatment Facility, Emotionally Disturbed Children
1502 LIATRIS LN
NORTH POLE, AK 99705
Fairbanks North Star Borough (907) 385-7332
EILEEN MICHELLE DINGER
Community Health Worker
1502 LIATRIS LN
NORTH POLE, AK 99705
Fairbanks North Star Borough (904) 588-2192

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 Christopher Jackson's NPI number?

The NPI number for Christopher Jackson is 1417502998. It was assigned to this individual provider in the NPPES registry on August 1, 2019.

Where is Christopher Jackson located?

Christopher Jackson practices at 1502 Liatris Ln, North Pole, AK 99705. The listed phone number is (907) 385-5733.

What is Christopher Jackson's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Christopher Jackson was last updated on August 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.