Provider Demographics
NPI:1053862391
Name:ROBINSON, JAMIE WEBB (PA)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:WEBB
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:JAMIE
Other - Middle Name:LAUREN
Other - Last Name:WEBB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:197 NORTH CAROLINA 42 EAST
Mailing Address - Street 2:WHITE OAK URGENT CARE
Mailing Address - City:ASHEBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27203
Mailing Address - Country:US
Mailing Address - Phone:336-625-2560
Mailing Address - Fax:
Practice Address - Street 1:197 NORTH CAROLINA 42 EAST
Practice Address - Street 2:WHITE OAK URGENT CARE
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27203
Practice Address - Country:US
Practice Address - Phone:336-625-2560
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-21
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC001006815363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant