Provider Demographics
NPI:1497282636
Name:ROBINSON, JEAN
Entity Type:Individual
Prefix:
First Name:JEAN
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10300 49TH ST N # 565
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33762-5000
Mailing Address - Country:US
Mailing Address - Phone:727-967-0800
Mailing Address - Fax:727-254-4948
Practice Address - Street 1:10300 49TH ST N # 565
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33762-5000
Practice Address - Country:US
Practice Address - Phone:727-967-0800
Practice Address - Fax:727-254-4948
Is Sole Proprietor?:No
Enumeration Date:2017-05-18
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL238335372600000X, 376J00000X
FLPN5241106164W00000X
246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy
No372600000XNursing Service Related ProvidersAdult Companion
No376J00000XNursing Service Related ProvidersHomemaker
No164W00000XNursing Service ProvidersLicensed Practical Nurse