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General NPI Number Information
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NPI Number | 1780338202
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Entity Type | Individual
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Provider Name | JESSICA JO ROBY PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/04/2022
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 937 WESTFIELD LN
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City | NEENAH
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State | WI
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Zip | 54956-1329
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Country | US
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Telephone | 920-215-0236
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Fax | 920-273-2939
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Provider Business Mailing Address
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Address Line | 937 WESTFIELD LN
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City | NEENAH
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State | WI
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Zip | 54956-1329
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Country | US
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Telephone | 920-901-3179
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 12009-33
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 163WP0807X
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Taxonomy Name | Child & Adolescent Psychiatric/Mental Health Registered Nurse
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License Number | 172928
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License Number State | WI
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