JACKIE MARIE ROBINSON FNP
NPI 1811586001
Nurse Practitioner in Craigmont, ID

Q: What is Jackie Robinson's NPI number?

The NPI number for Jackie Robinson is 1811586001. It was assigned to this individual provider in the NPPES registry on January 13, 2021. The provider is also known as Jackie Marie Dupuis.

Q: What is Jackie Robinson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Jackie Robinson was last updated on January 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 13, 2021

615 E MAIN ST, CRAIGMONT, ID 83523(208) 717-7275 Get Directions Write a Review

NPPES record last updated: January 13, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jackie Marie Robinson Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKIE MARIE ROBINSON FNP (NPI 1811586001) is an individual nurse practitioner in Craigmont, Idaho, licensed in Washington (N36113542) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1811586001

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJACKIE MARIE ROBINSONCredential: FNP

Location Address615 E MAIN STCraigmont, ID 83523-5099

Mailing Address615 E Main StCraigmont, ID 83523-5099 · (208) 717-7275

Phone(208) 717-7275

Sole ProprietorNo

Enumeration DateJanuary 13, 2021

NPPES CertifiedJanuary 13, 2021

✔ NPI 1811586001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in WA · N36113542

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

615 E MAIN ST, Craigmont, ID 83523

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Other Names 1

Other Name (5)Jackie Marie Dupuis

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackie Robinson's NPI number?

The NPI number for Jackie Robinson is 1811586001. It was assigned to this individual provider in the NPPES registry on January 13, 2021. The provider is also known as Jackie Marie Dupuis.

Where is Jackie Robinson located?

Jackie Robinson practices at 615 E Main St, Craigmont, ID 83523. The listed phone number is (208) 717-7275.

What is Jackie Robinson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Jackie Robinson was last updated on January 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.