Provider Demographics
NPI:1316353030
Name:ROBITZSCH, JENNIE (RN)
Entity type:Individual
Prefix:
First Name:JENNIE
Middle Name:
Last Name:ROBITZSCH
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 1:116 CARONDOLET CT W
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36608-5717
Mailing Address - Country:US
Mailing Address - Phone:251-295-5110
Mailing Address - Fax:251-217-2075
Practice Address - Street 1:116 CARONDOLET CT W
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608-5717
Practice Address - Country:US
Practice Address - Phone:251-295-5110
Practice Address - Fax:251-217-2075
Is Sole Proprietor?:No
Enumeration Date:2014-07-02
Last Update Date:2014-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-074868163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice