Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Christopher Robert Jackson

Individual provider Emotionally Disturbed Childrens' Residential Treatment Facility · NPI 1417502998

Christopher Robert Jackson is an Emotionally Disturbed Childrens' Residential Treatment Facility in North Pole, Alaska. Practices as a sole proprietor. Licensed in Alaska.

Licensed in
AK
In the registry since
2019

Practice location Address checks out

1502 Liatris Ln
North Pole, AK 99705-5082
Phone: (907) 385-5733
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emotionally Disturbed Childrens' Residential Treatment Facility (primary) Taxonomy 322D00000X · Licence 523381 (AK)

Record details

NPI number1417502998
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 1, 2019
Last updated in NPPESAugust 1, 2019
Mailing address1680 Midland St, North Pole, AK 99705-5881

Other providers in North Pole