Provider Demographics
NPI:1730528514
Name:ROBINSON, BARBARA ANN (LPN)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:ANN
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:436 DUNBAR ST
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39216-3114
Mailing Address - Country:US
Mailing Address - Phone:662-701-7868
Mailing Address - Fax:601-956-1226
Practice Address - Street 1:436 DUNBAR ST
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39216-3114
Practice Address - Country:US
Practice Address - Phone:662-701-7868
Practice Address - Fax:601-956-1226
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-14
Last Update Date:2013-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSP260561164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse