Healthcare Provider Details

I. General information

NPI: 1033319736
Provider Name (Legal Business Name): JENNIFER G ROBINETTE ARNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2007
Last Update Date: 07/20/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2407 RUTH HENTZ AVE
PANAMA CITY FL
32405-2259
US

IV. Provider business mailing address

2407 RUTH HENTZ AVE
PANAMA CITY FL
32405
US

V. Phone/Fax

Practice location:
  • Phone: 850-522-4848
  • Fax: 850-522-4849
Mailing address:
  • Phone: 850-522-4848
  • Fax: 850-522-4849

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0100X
TaxonomyGastroenterology Registered Nurse
License NumberARNP2228752
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: