Provider Demographics
NPI:1740683440
Name:JENKINS, ROBYN LYNN (APRN, MSN, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:ROBYN
Middle Name:LYNN
Last Name:JENKINS
Suffix:
Gender:F
Credentials:APRN, MSN, FNP-C
Other - Prefix:
Other - First Name:ROBYN
Other - Middle Name:LYNN
Other - Last Name:BEAUSOLEIL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN,MSN, FNP-C
Mailing Address - Street 1:1 GRIFFITHS DR
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03824-3129
Mailing Address - Country:US
Mailing Address - Phone:603-689-6116
Mailing Address - Fax:
Practice Address - Street 1:55 FRUIT ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2696
Practice Address - Country:US
Practice Address - Phone:617-726-5222
Practice Address - Fax:617-724-3878
Is Sole Proprietor?:No
Enumeration Date:2014-10-08
Last Update Date:2022-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH066799-23363LF0000X
MARN282759363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily