Provider Demographics
NPI:1316700552
Name:ROBINSON, JAIME LEE (LPN)
Entity type:Individual
Prefix:MRS
First Name:JAIME
Middle Name:LEE
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 SILVER PINE CIR APT 12
Mailing Address - Street 2:
Mailing Address - City:GAYLORD
Mailing Address - State:MI
Mailing Address - Zip Code:49735-9787
Mailing Address - Country:US
Mailing Address - Phone:198-947-0866
Mailing Address - Fax:
Practice Address - Street 1:900 SILVER PINE CIR APT 12
Practice Address - Street 2:
Practice Address - City:GAYLORD
Practice Address - State:MI
Practice Address - Zip Code:49735-9787
Practice Address - Country:US
Practice Address - Phone:198-947-0866
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-31
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4703108322164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse