Healthcare Provider Details

I. General information

NPI: 1669031597
Provider Name (Legal Business Name): JENNIFER ROBINSON NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2019
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1299 E OGDEN AVE
NAPERVILLE IL
60563-1603
US

IV. Provider business mailing address

1299 E OGDEN AVE
NAPERVILLE IL
60563-1603
US

V. Phone/Fax

Practice location:
  • Phone: 630-548-2057
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number277.001762
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: