Provider Demographics
NPI:1356490122
Name:JEWELL, ROBBYN GRIMSLEY (ARNP)
Entity Type:Individual
Prefix:MS
First Name:ROBBYN
Middle Name:GRIMSLEY
Last Name:JEWELL
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 1:704 COLUMBIA HWY
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:KY
Mailing Address - Zip Code:42743-1118
Mailing Address - Country:US
Mailing Address - Phone:270-935-4284
Mailing Address - Fax:
Practice Address - Street 1:704 COLUMBIA HWY
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:KY
Practice Address - Zip Code:42743-1118
Practice Address - Country:US
Practice Address - Phone:270-935-4284
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY5086P363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner