MR. JACOB TYLER ROBISON (NPI# 1952778359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952778359 |
| Entity Type | Individual |
| Full Name | MR. JACOB TYLER ROBISON |
| Credential | N.P. |
| Practice Address |
502 Jackson St Suite 5 Aberdeen MS 39730-3300 |
| Mailing Address |
403 E 11th St Panama City FL 32401-3409 |
| Practice Telephone | 6623699500 |
| Mailing Telephone | 8507475599 |
| Mailing Fax Number | 8508724131 |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2019-09-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R888153 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891132015 | Jacob William Robison | Massage Therapist | 5525 N Union Blvd, Suite 100, Colorado Springs, CO 80918-1969 | 2013-05-29 |
| 1568731453 | Jacob Michael Robison | Pharmacist | 6202 S 16th St, Phoenix, AZ 85042-4434 | 2011-12-21 |
| 1780970582 | Jacob Michael Robison | Optometrist | 43 E 450 N, Ephraim, UT 84627-4027 | 2011-06-21 |
| 1255596771 | Jacob G Robison | Otolaryngology | 100 E Idaho St, Boise, ID 83712-6267 | 2008-07-24 |
| 1154435618 | Jacob Robison | Surgery | 171 Ashley Ave, Charleston, SC 29425-0001 | 2006-08-19 |
| Street Address |
502 JACKSON ST SUITE 5 |
| City | ABERDEEN |
| State | MS |
| Zip Code | 39730-3300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043225576 | Nina P Jurney | Nurse Practitioner | 502 Jackson St, Suite 4, Aberdeen, MS 39730-3300 | 2006-07-31 |
| 1639602667 | Lifebrite Hospital Group of Aberdeen LLC | Clinic/Center | 502 Jackson St, Suite 5, Aberdeen, MS 39730-3300 | 2017-04-06 |
| 1235662453 | Lifebrite Hospital Group of Aberdeen LLC | Clinic/Center | 502 Jackson St, Suite 4, Aberdeen, MS 39730-3300 | 2017-04-05 |
| 1477929495 | Pioneer Health Services of Monroe County, Inc. | Clinic/Center | 502 Jackson St, Suite 5, Aberdeen, MS 39730-3300 | 2015-08-13 |
| 1467639211 | Penny Lane Finch | Nurse Practitioner | 502 Jackson St, Suite 5, Aberdeen, MS 39730-3300 | 2008-01-23 |
| 1932227089 | Pioneer Family Pharmacy | Pharmacy | 502 Jackson St, Suite 1, Aberdeen, MS 39730-3300 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083767271 | Aberdeen Health Clinic Inc | Internal Medicine | 501 Chestnut Street, Aberdeen, MS 39730 | 2007-01-19 |
| 1205992153 | Woodie Darnell Herron | Family Medicine | 200 East Commerce Street, Aberdeen, MS 39730 | 2006-12-28 |
| 1578638532 | Leonard J Goodgame Jr. | Dentist | 207 West Commerce, Aberdeen, MS 39730 | 2006-11-22 |
| 1295813210 | Thomas Banks Shepherd Jr. | Dentist | 116 E Washington Street, Aberdeen, MS 39730 | 2006-11-01 |
| 1619490810 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 200 Highway 145 N, Aberdeen, MS 39730 | 2017-07-19 |
| 1538454855 | Mark Fitzhugh Breland | Dentist | 513 W Commerce St, Aberdeen, MS 39730 | 2011-06-15 |
| 1649446212 | Cheyenne's Total Care/transporation | Non-emergency Medical Transport (VAN) | 122 W Commerce St, Aberdeen, MS 39730 | 2008-05-05 |
| 1386689438 | Pioneer Health Services of Monroe County, Inc. | Clinic/Center | 502 Jackson Street, Suite 5, Aberdeen, MS 39730-0000 | 2006-06-20 |
| 1578675328 | Renal Care Group Tupelo, LLC | Clinic/Center | 308 Highway 8 W, Aberdeen, MS 39730-2106 | 2006-08-31 |
| 1881006807 | Roy Donald Duncan | Urology | 300 Forrest Hill Cir, Aberdeen, MS 39730-2147 | 2014-05-26 |
| Find all providers in zip 39730 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699380162 | Jessie Alayne Prescott | Nurse Practitioner | 3104 Schindler Dr, Aberdeen, NJ 07747-3781 | 2020-09-11 |
| 1508334772 | Sophia Lenter | Nurse Practitioner | 1325 Stewart Dr, Aberdeen, SD 57401-2682 | 2018-11-06 |
| 1790263473 | Sharon Freeman Taylor | Nurse Practitioner | 1902 N Sandhills Blvd Ste C, Aberdeen, NC 28315-2347 | 2018-08-03 |
| 1063968857 | Belinda Lincoln-lee | Nurse Practitioner | 998 Hospitality Way Ste A, Aberdeen, MD 21001-1759 | 2016-08-31 |
| 1881149854 | Tina Albrecht | Nurse Practitioner | 1088 Route 34, Aberdeen, NJ 07747-1948 | 2016-08-19 |
| 1154707552 | Nathan Howard Valentine | Nurse Practitioner | 1020 Anderson Dr Ste 203, Aberdeen, WA 98520-1055 | 2015-08-07 |
| 1285043612 | Vanessa N Satterwhite | Nurse Practitioner | 200 E Commerce St, Aberdeen, MS 39730-2712 | 2014-08-11 |
| 1366876120 | Holly Celeste Clements | Nurse Practitioner | 954 Anderson Dr Ste 102, Pmg Sw Wa Prcs Aberdeen Clinic, Aberdeen, WA 98520-1001 | 2013-08-29 |
| 1174863690 | Ronald Scott Oman | Nurse Practitioner | 615 F Street, Aberdeen, WA 98520 | 2013-02-20 |
| 1548559933 | Marsha Houk Health Clinic, LLC | Nurse Practitioner | 50141 Votech Rd, Aberdeen, MS 39730-9029 | 2011-04-06 |
| Find all providers in ABERDEEN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.