Individual
JEANINE RAE ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1717 HARPER RD, SUITE A, BECKLEY, WV 25801-3373
(304) 461-3879
(304) 461-3848
Mailing address
1717 HARPER RD, SUITE A, BECKLEY, WV 25801-3373
(304) 461-3879
(304) 461-3848
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
72591
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518210012
—
WV
Enumeration date
10/22/2012
Last updated
12/02/2021
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