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

Robert Warren Jackson

Individual provider Nurse Practitioner · NPI 1689471310

Robert Warren Jackson is a Nurse Practitioner in Tarzana, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

18370 Burbank Blvd Ste 204
Tarzana, CA 91356-2851
Phone: (818) 345-7792
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 95034064 (CA)

Record details

NPI number1689471310
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 28, 2025
Last updated in NPPESFebruary 28, 2025
Certification dateFebruary 28, 2025
Mailing address1680 Country Club Dr, Glendale, CA 91208-2065

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