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NPI Code Detail

MEDICARE: JAMIE ROBINSON C-FNP

MEDICARE:   JAMIE  ROBINSON  C-FNP
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 PractitionerR875395MS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952649774
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMIE ROBINSON C-FNP
Provider Business Mailing Address
First Line : 1650 CARROL DR
Second Line :
City : BILOXI
State : MS
Zip : 39531-4301
Country : US
Telephone Number : 228-534-3640
Fax Number :
Provider Business Practice Location Address
First Line : 14116 CUSTOMS BLVD
Second Line :
City : GULFPORT
State : MS
Zip : 39503-5164
Country : US
Telephone Number : 601-957-6300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2013
Last Update Date : 10/25/2019

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