Healthcare Provider Details

I. General information

NPI: 1912818170
Provider Name (Legal Business Name): JENNIFER RAE ROBISON NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

324 VALLEY RETREAT RD
FRONT ROYAL VA
22630-6646
US

IV. Provider business mailing address

324 VALLEY RETREAT RD
FRONT ROYAL VA
22630-6646
US

V. Phone/Fax

Practice location:
  • Phone: 540-671-3574
  • Fax:
Mailing address:
  • Phone: 540-671-3574
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number0024198502
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: