MEDICARE: JADE VICTORIA ROBINSON NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	95022471	CA

General Provider Information

NPI Number	:	1154055606
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JADE VICTORIA ROBINSON NP

Provider Business Mailing Address
First Line	:	300 PASTEUR DR
Second Line	:
City	:	STANFORD
State	:	CA
Zip	:	94305-2200
Country	:	US
Telephone Number	:	650-723-4000
Fax Number	:

Provider Business Practice Location Address
First Line	:	3100 SAN PABLO AVE STE 280
Second Line	:
City	:	BERKELEY
State	:	CA
Zip	:	94702-2498
Country	:	US
Telephone Number	:	510-420-8000
Fax Number	:	510-420-8001

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2022
Last Update Date	:	01/23/2026

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