Healthcare Provider Details

I. General information

NPI: 1922382274
Provider Name (Legal Business Name): JAKKI ROBINSON BINGLEY CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2011
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 JOHNSON FERRY RD STE 800
ATLANTA GA
30342-1708
US

IV. Provider business mailing address

5780 PEACHTREE DUNWOODY RD STE 300
ATLANTA GA
30342-1513
US

V. Phone/Fax

Practice location:
  • Phone: 404-252-1137
  • Fax:
Mailing address:
  • Phone: 404-303-8035
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberRN208654
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: