Individual
JESSIE ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1835 GILMORE AVE, LAKELAND, FL 33805-3017
(863) 519-0575
(863) 582-9251
Mailing address
PO BOX 1559, BARTOW, FL 33831-1559
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN429692
FL
Other
Enumeration date
11/05/2012
Last updated
11/05/2012
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