Provider Demographics
NPI:1144509605
Name:ROBINSON, JERICA AMBER (RN)
Entity type:Individual
Prefix:MRS
First Name:JERICA
Middle Name:AMBER
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 OAKBRIDGE CT
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53717-1600
Mailing Address - Country:US
Mailing Address - Phone:608-225-6810
Mailing Address - Fax:
Practice Address - Street 1:6 OAKBRIDGE CT
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53717-1600
Practice Address - Country:US
Practice Address - Phone:608-225-6810
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-15
Last Update Date:2011-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI171396-30163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency