Healthcare Provider Details

I. General information

NPI: 1598560393
Provider Name (Legal Business Name): KATHERINE DAWN ROBERTSON CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/17/2025
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1240 JESSE JEWELL PKWY SE STE 400
GAINESVILLE GA
30501-3861
US

IV. Provider business mailing address

1240 JESSE JEWELL PKWY SE STE 400
GAINESVILLE GA
30501-3861
US

V. Phone/Fax

Practice location:
  • Phone: 770-534-1117
  • Fax: 770-503-7285
Mailing address:
  • Phone: 770-534-1117
  • Fax: 770-503-7285

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN-NP144576
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: