Healthcare Provider Details

I. General information

NPI: 1336357037
Provider Name (Legal Business Name): ROBIN A THOMPKINS AGNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ROBIN ANN MORRIS

II. Dates (important events)

Enumeration Date: 05/18/2007
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4735 OGLETOWN STANTON RD STE 3301
NEWARK DE
19713-7021
US

IV. Provider business mailing address

6540 N 12TH ST
PHILADELPHIA PA
19126-3640
US

V. Phone/Fax

Practice location:
  • Phone: 302-623-4370
  • Fax: 302-623-4375
Mailing address:
  • Phone: 267-968-4679
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberLP-0010919
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberLP-0010919
License Number StateDE
# 3
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN559023
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberL1-0038384
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: