Provider Demographics
NPI:1497142749
Name:JAFFERS, ROBYN DENE (FNP-C)
Entity Type:Individual
Prefix:
First Name:ROBYN
Middle Name:DENE
Last Name:JAFFERS
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:ROBYN
Other - Middle Name:DENE
Other - Last Name:JAFFERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:309 N 2ND ST
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76541-5204
Mailing Address - Country:US
Mailing Address - Phone:254-526-8372
Mailing Address - Fax:254-526-5343
Practice Address - Street 1:309 N 2ND ST
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76541-5204
Practice Address - Country:US
Practice Address - Phone:254-526-8372
Practice Address - Fax:254-526-5343
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-23
Last Update Date:2015-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP127932363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily