Provider Demographics
NPI:1114911138
Name:ROBISON, JANE AUDREY GRAF (APRN, ARNP, BC-FNP)
Entity Type:Individual
Prefix:MS
First Name:JANE
Middle Name:AUDREY GRAF
Last Name:ROBISON
Suffix:
Gender:F
Credentials:APRN, ARNP, BC-FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1904 PICKENS RD
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37040-6021
Mailing Address - Country:US
Mailing Address - Phone:931-645-5397
Mailing Address - Fax:
Practice Address - Street 1:346 UNION ST
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37040-3659
Practice Address - Country:US
Practice Address - Phone:931-648-2444
Practice Address - Fax:931-572-1538
Is Sole Proprietor?:No
Enumeration Date:2005-09-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000005854363LF0000X
KY02414P363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYA630OtherBLUE CROSS/BLUE SHIELD
KY00890031OtherHUMANA
KYA630OtherBLUE CROSS/BLUE SHIELD