Provider Demographics
NPI:1659066165
Name:ROBLES, JENNIFER AMBER (FNP)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:AMBER
Last Name:ROBLES
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 NOTTINGHAM RD
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD
Mailing Address - State:NH
Mailing Address - Zip Code:03037-1531
Mailing Address - Country:US
Mailing Address - Phone:603-591-4066
Mailing Address - Fax:
Practice Address - Street 1:20235 N CAVE CREEK RD STE 104-214
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85024-4424
Practice Address - Country:US
Practice Address - Phone:866-257-3007
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-10
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAGAA-NP001354363LF0000X
NH071665-23363LF0000X
CA95030413363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily