Parnell Eugene Roberson

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN5232382 Issued in FL

Practice address

6639 Southpoint Parkway Suite 108
Jacksonville, FL 32216-8042

Phone

(904) 438-7640

Fax

(904) 438-7656

NPI assigned

Dec 5, 2023

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1701734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1174390769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6639 SOUTHPOINT PKWY",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168041",
            "telephone_number": "904-438-7640",
            "fax_number": "904-438-7656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6639 SOUTHPOINT PARKWAY SUITE 108",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168042",
            "telephone_number": "904-438-7640",
            "fax_number": "904-438-7656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERSON",
        "first_name": "PARNELL",
        "middle_name": "EUGENE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-05",
        "last_updated": "2023-12-05",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "FL",
            "license": "PN5232382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Robbins
• Chandler L Robbins, DO
• Jill Denise Robbins, N. P.
• Kimberly Ann Robbins
• Dennis Roberge
• Sandra Alden Roberson, P.T.
• Robert a. Sharp, D.M.D., P.a.
• Robert B Dehgan MD PA
• Robert D Mouradian PA
• Robert E Groble MD PA

• Licensed Practical Nurse in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Licensed Practical Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.