Provider Demographics
NPI:1346891272
Name:ROBINSON, JILL SUSANNE (APRN, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:JILL
Middle Name:SUSANNE
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10727 SE SEASPRAY CT
Mailing Address - Street 2:
Mailing Address - City:HOBE SOUND
Mailing Address - State:FL
Mailing Address - Zip Code:33455-3271
Mailing Address - Country:US
Mailing Address - Phone:561-718-7354
Mailing Address - Fax:
Practice Address - Street 1:10727 SE SEASPRAY CT
Practice Address - Street 2:
Practice Address - City:HOBE SOUND
Practice Address - State:FL
Practice Address - Zip Code:33455-3271
Practice Address - Country:US
Practice Address - Phone:561-718-7354
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-23
Last Update Date:2024-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9165714363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily