Individual
JAMIE ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C-FNP
Contact information
Practice address
14116 CUSTOMS BLVD, GULFPORT, MS 39503-5164
(601) 957-6300
Mailing address
1650 CARROL DR, BILOXI, MS 39531-4301
(228) 534-3640
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R875395
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08721095
—
MS
Enumeration date
01/29/2013
Last updated
10/25/2019
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