Provider Demographics
NPI:1194547919
Name:ROBINSON, JALIA ALICIANA
Entity type:Individual
Prefix:
First Name:JALIA
Middle Name:ALICIANA
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9820 RESEARCH DR APT 1216
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28262-5654
Mailing Address - Country:US
Mailing Address - Phone:704-780-5564
Mailing Address - Fax:
Practice Address - Street 1:9820 RESEARCH DR APT 1216
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28262-5654
Practice Address - Country:US
Practice Address - Phone:704-780-5564
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-31
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula