Healthcare Provider Details

I. General information

NPI: 1407302953
Provider Name (Legal Business Name): ROBIN YEARGAN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2016
Last Update Date: 09/22/2025
Certification Date: 09/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1203 7TH ST N
CLANTON AL
35045-2115
US

IV. Provider business mailing address

6550 CAROTHERS PKWY STE 225
FRANKLIN TN
37067-6662
US

V. Phone/Fax

Practice location:
  • Phone: 931-253-1110
  • Fax:
Mailing address:
  • Phone: 931-253-1110
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number1-095436
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: