| Doctor Name: | JESSICA LUCILLA ROBINSON |
| NPI Number: | 1568600252 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.A.T.A |
| License Number: | 2301-0010-2070-662 |
| Business Practice Address: | 602 N Acadia Rd Thibodaux, LA - 703014823 |
| Business Phone Number: | 9854934502 |
| Business Fax Number: | |
| Mailing Address: | 911 Bayou Reserve Ct, THIBODAUX |
| State: | LA |
| Postal Code: | 703019317 |
| Phone Number: | 7064646814 |
| Fax Number: | |
| NPI Enumeration Date: | 02/03/2009 |
| NPI Last Update Date: | 03/23/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 183700000X |
| License Number: | 2301-0010-2070-662 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Pharmacy Service Providers |
| Taxonomy Classification: | Pharmacy Technician |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |