MEDICARE: JESSICA B ROBINSON RN

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	163W00000X	Registered Nurse	419635	OH

General Provider Information

NPI Number	:	1356573240
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA B ROBINSON RN

Provider Business Mailing Address
First Line	:	3981 ORCHARD RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44121-2411
Country	:	US
Telephone Number	:	216-382-2151
Fax Number	:

Provider Business Practice Location Address
First Line	:	3981 ORCHARD RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44121-2411
Country	:	US
Telephone Number	:	216-382-2151
Fax Number	:

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

Provider Enumeration Date	:	08/11/2009
Last Update Date	:	01/12/2017

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