Provider Demographics
NPI:1639386246
Name:ROBINSON, JEWEL ANNE (RN)
Entity Type:Individual
Prefix:MRS
First Name:JEWEL
Middle Name:ANNE
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:JEWEL
Other - Middle Name:ANNE
Other - Last Name:ROBINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7 TUCKER POND CT
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:NY
Mailing Address - Zip Code:12182-4322
Mailing Address - Country:US
Mailing Address - Phone:518-235-9188
Mailing Address - Fax:
Practice Address - Street 1:110 8TH ST
Practice Address - Street 2:3200 ACADEMY HALL
Practice Address - City:TROY
Practice Address - State:NY
Practice Address - Zip Code:12180-3522
Practice Address - Country:US
Practice Address - Phone:518-276-6287
Practice Address - Fax:518-276-4049
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY22490707163WC1400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1400XNursing Service ProvidersRegistered NurseCollege Health