Individual
JACQUALINE M ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
9350 E 35TH ST N STE 101, WICHITA, KS 67226-2022
(316) 265-1308
(316) 265-4480
Mailing address
347 S LAURA AVE, WICHITA, KS 67211-1518
(316) 686-7117
(316) 686-2679
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
53-79658
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201307080A
—
KS
Enumeration date
08/19/2020
Last updated
09/23/2021
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