Provider Demographics
NPI:1578001079
Name:ROBINSON, JASZMINE (LPN)
Entity Type:Individual
Prefix:MS
First Name:JASZMINE
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 LAKE VISTA CT
Mailing Address - Street 2:APT 4
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14612-5328
Mailing Address - Country:US
Mailing Address - Phone:585-351-3774
Mailing Address - Fax:
Practice Address - Street 1:114 LAKE VISTA CT
Practice Address - Street 2:APT 4
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14612-5328
Practice Address - Country:US
Practice Address - Phone:585-351-3774
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-03
Last Update Date:2017-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3278301164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse