Healthcare Provider Details

I. General information

NPI: 1346761053
Provider Name (Legal Business Name): GRACE KEHINDE EREKERE ROBINSON DNP, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/03/2017
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2755 JAMIE LN
LINCOLN NE
68516-7750
US

IV. Provider business mailing address

2755 JAMIE LN
LINCOLN NE
68516-7750
US

V. Phone/Fax

Practice location:
  • Phone: 402-205-1843
  • Fax: 402-205-1445
Mailing address:
  • Phone: 402-205-1843
  • Fax: 402-205-1445

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number113989
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number75882
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: