MEDICARE: MR. ROBERT J JEMISON APRN, FNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	364SF0001X	Family Health Clinical Nurse Specialist	TAP003201	LA
2	363LF0000X	Family Nurse Practitioner	AP07502	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164854360
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ROBERT J JEMISON APRN, FNP-BC

Provider Business Mailing Address
First Line	:	7506 JONLEE DR
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70128-1435
Country	:	US
Telephone Number	:	504-388-3146
Fax Number	:	504-872-9100

Provider Business Practice Location Address
First Line	:	8080 CROWDER BLVD STE E
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70127-1077
Country	:	US
Telephone Number	:	504-459-2430
Fax Number	:	504-226-0532

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/30/2013
Last Update Date	:	02/23/2025

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