Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Robert Dale Jackson, DNP, FNP-C

Individual provider Nurse Practitioner · NPI 1881076230

Robert Dale Jackson, DNP, FNP-C is a Nurse Practitioner in Coeur D Alene, Idaho. Qualified in 2025, 1 year ago. Practices with Dirne Health Centers Inc, a 83-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
1
Licensed in
ID
In the registry since
2015
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

1090 W Park Pl
Coeur D Alene, ID 83814-2785
Phone: (208) 415-0299
Fax: (208) 625-2070
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 74218 (ID)

Record details

NPI number1881076230
Entity typeIndividual (Type 1)
GenderMale
Credentials DNP , FNP-C
Sole proprietorNo
NPI enumeratedJune 22, 2015
Last updated in NPPESAugust 13, 2025
Certification dateAugust 13, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Dirne Health Centers Inc — 83 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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