Robinson, Jacqualine M

Robinson, Jacqualine M is an individual health care provider with primary practice located at 9350 E 35Th St N Ste 101 , Wichita KS 67226-2022. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Robinson, Jacqualine M can be contacted via phone (316) 265-1308.

Contact Information

Primary practice address
9350 E 35Th St N Ste 101 Wichita KS 67226-2022
Phone: (316) 265-1308
Fax: (316) 265-4480
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 53-79658 Kansas

Profile Details

NPI number 1336751619
LBN Legal business name Robinson, Jacqualine M
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2020
Last updated Sep 23rd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336751619 NPPES
Kansas MEDICAID 201307080A

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