Healthcare Provider Details

I. General information

NPI: 1235749722
Provider Name (Legal Business Name): EMILY ANN ROBINSON APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2020
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

443 B ST BLDG 29709
FORT GORDON GA
30905-5719
US

IV. Provider business mailing address

443 B ST BLDG 29709
FORT GORDON GA
30905-5719
US

V. Phone/Fax

Practice location:
  • Phone: 706-787-5142
  • Fax:
Mailing address:
  • Phone: 706-787-5142
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1007751
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: