Provider Demographics
NPI:1154341329
Name:ROBINSON, JACKLEN SWOPES (MSN)
Entity type:Individual
Prefix:MRS
First Name:JACKLEN
Middle Name:SWOPES
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:MSN
Other - Prefix:
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Mailing Address - Street 1:NASVILLE VAMC 1310 24TH AVE SO
Mailing Address - Street 2:111PC
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37212-2637
Mailing Address - Country:US
Mailing Address - Phone:615-327-4751
Mailing Address - Fax:615-321-6365
Practice Address - Street 1:NASHVILLE VAMC 1310 24TH AVE SO
Practice Address - Street 2:11PC
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37212-2637
Practice Address - Country:US
Practice Address - Phone:615-327-4751
Practice Address - Fax:615-321-6365
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNRN0000043204363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily