Jackie Marie Robinson, FNP is a
Nurse Practitioner based in Craigmont, Idaho. Jackie Marie Robinson is licensed to practice in Washington (license number N36113542) and her current practice location is
615 E Main St, Craigmont, Idaho. She can be reached at her office (for appointments etc.) via phone at
(208) 717-7275.
NPI number for Jackie Marie Robinson is 1811586001 and her current mailing address is 615 E Main St, Craigmont, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1811586001.
Provider's Profile
Full Name | Jackie Marie Robinson |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 615 E Main St, Craigmont, Idaho |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1811586001
- Provider Enumeration Date: 01/13/2021
- Last Update Date: 01/13/2021
Medical Identifiers
Medical identifiers for Jackie Marie Robinson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811586001 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | N36113542 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jackie Marie Robinson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jackie Marie Robinson, FNP 615 E Main St, Craigmont, ID 83523-5099 Ph: (208) 717-7275 | Jackie Marie Robinson, FNP 615 E Main St, Craigmont, ID 83523-5099 Ph: (208) 717-7275 |
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