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Individual

JENNIFER ROBB

Active
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Individual

JENNIFER ROBB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001309564
VA
163W00000X
Registered Nurse
28172208A
IN
163W00000X
Registered Nurse
RN.420665-1
OH
363L00000X
Nurse Practitioner
71004540A
IN
363LF0000X
Family Nurse Practitioner
0024183897
VA
363LF0000X
Family Nurse Practitioner
Primary
COA.18402-NP
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000829255
ANTHEM PROVIDER NUMBER
IN
05
201183290
IN
Enumeration date
05/16/2013
Last updated
12/11/2023
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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