Healthcare Provider Details

I. General information

NPI: 1124839089
Provider Name (Legal Business Name): JANE M KNIGHT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JANE MARIE ROBESON FNP, APP

II. Dates (important events)

Enumeration Date: 01/18/2025
Last Update Date: 03/17/2025
Certification Date: 03/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

661 UNIVERSITY LN STE B
ORANGE VA
22960-2243
US

IV. Provider business mailing address

58 BARCLAY PLACE CT APT F
CHARLOTTESVILLE VA
22901-2477
US

V. Phone/Fax

Practice location:
  • Phone: 540-661-3004
  • Fax: 434-244-4508
Mailing address:
  • Phone: 267-383-8395
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024192115
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: