Provider Demographics
NPI:1538878921
Name:ROBINSON, JESSICA (CLD)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:CLD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:542 COLONY RD
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23602-6249
Mailing Address - Country:US
Mailing Address - Phone:540-419-7903
Mailing Address - Fax:
Practice Address - Street 1:542 COLONY RD
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23602-6249
Practice Address - Country:US
Practice Address - Phone:540-419-7903
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-15
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula