Provider Demographics
NPI:1033319736
Name:ROBINETTE, JENNIFER G (ARNP-C)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:G
Last Name:ROBINETTE
Suffix:
Gender:F
Credentials:ARNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2407 RUTH HENTZ AVE
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32405
Mailing Address - Country:US
Mailing Address - Phone:850-522-4848
Mailing Address - Fax:850-522-4849
Practice Address - Street 1:2407 RUTH HENTZ AVE
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32405-2259
Practice Address - Country:US
Practice Address - Phone:850-522-4848
Practice Address - Fax:850-522-4849
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-20
Last Update Date:2007-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2228752163WG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0100XNursing Service ProvidersRegistered NurseGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLARNP2228752OtherDEPT OF HEALTH LICENSE