Healthcare Provider Details

I. General information

NPI: 1972438950
Provider Name (Legal Business Name): ROBINETTE DANIELLE TERRY APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ROBIN DANIELLE TERRY APRN

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7007 GEMSTONE DR
ALEXANDER AR
72002-5004
US

IV. Provider business mailing address

7007 GEMSTONE DR
ALEXANDER AR
72002-5004
US

V. Phone/Fax

Practice location:
  • Phone: 501-658-7570
  • Fax:
Mailing address:
  • Phone: 501-658-7570
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number237846
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: