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NPI Code Detail

MEDICARE: DEVENIE JAKARRA ROBBINS ARNP, FNP-C

MEDICARE: DEVENIE JAKARRA ROBBINS ARNP, FNP-C
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
1363LF0000XFamily Nurse PractitionerAP132735TX
2363LF0000XFamily Nurse PractitionerARNP9321089FL

General Provider Information

NPI Number : 1205202736
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEVENIE JAKARRA ROBBINS ARNP, FNP-C
Provider Business Mailing Address
First Line : 9950 WESTPARK DR
Second Line : STE 312
City : HOUSTON
State : TX
Zip : 77063-5371
Country : US
Telephone Number : 813-297-6326
Fax Number :
Provider Business Practice Location Address
First Line : 12012 BOYETTE RD
Second Line :
City : RIVERVIEW
State : FL
Zip : 33569-5631
Country : US
Telephone Number : 813-605-3900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2015
Last Update Date : 06/19/2018

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