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General NPI Number Information
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NPI Number | 1073332409
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Entity Type | Individual
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Provider Name | TINNIKKA ROBERTSON-JONES DNP, ACNS-BC, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/03/2024
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Last Update Date | 06/01/2026
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Provider Practice Location Address
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Address Line | 5101 S LINKS CIR
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City | SUFFOLK
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State | VA
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Zip | 23435-3309
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Country | US
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Telephone | 313-909-7089
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Fax |
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Provider Business Mailing Address
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Address Line | 5101 S LINKS CIR
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City | SUFFOLK
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State | VA
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Zip | 23435-3309
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Country | US
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Telephone | 313-909-7089
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 0001252605
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2025060165
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License Number State | VA
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