Healthcare Provider Details

I. General information

NPI: 1164854360
Provider Name (Legal Business Name): ROBERT J JEMISON APRN, FNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2013
Last Update Date: 02/23/2025
Certification Date: 02/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8080 CROWDER BLVD STE E
NEW ORLEANS LA
70127-1077
US

IV. Provider business mailing address

7506 JONLEE DR
NEW ORLEANS LA
70128-1435
US

V. Phone/Fax

Practice location:
  • Phone: 504-459-2430
  • Fax: 504-226-0532
Mailing address:
  • Phone: 504-388-3146
  • Fax: 504-872-9100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SF0001X
TaxonomyFamily Health Clinical Nurse Specialist
License NumberTAP003201
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP07502
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: