Provider Demographics
NPI:1265482673
Name:ROBINSON, JANA B (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:JANA
Middle Name:B
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6111 BEACH BLVD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-2751
Mailing Address - Country:US
Mailing Address - Phone:904-739-1140
Mailing Address - Fax:904-722-9578
Practice Address - Street 1:6111 BEACH BLVD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-2751
Practice Address - Country:US
Practice Address - Phone:904-739-1140
Practice Address - Fax:904-722-9578
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2016-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9189982363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL273701900Medicaid
FLY089XOtherBCBS
Q32306Medicare UPIN
U4034ZMedicare ID - Type Unspecified
FL273701900Medicaid