Provider Demographics
NPI:1124664610
Name:JENKINS, ROBIN MARIE WAHL (RN)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:MARIE WAHL
Last Name:JENKINS
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 1:100 SPADER WAY
Mailing Address - Street 2:DEPARTMENT OF HEALTH & HUMAN SERVICES - RH CLINIC
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80020-2441
Mailing Address - Country:US
Mailing Address - Phone:720-887-3102
Mailing Address - Fax:
Practice Address - Street 1:100 SPADER WAY
Practice Address - Street 2:DEPARTMENT OF HEALTH & HUMAN SERVICES - RH CLINIC
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80020-2441
Practice Address - Country:US
Practice Address - Phone:720-887-3102
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-20
Last Update Date:2020-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN.0195841163W00000X
CO0195841163WP0200X, 163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
No163W00000XNursing Service ProvidersRegistered Nurse
No163WP0200XNursing Service ProvidersRegistered NursePediatrics