Healthcare Provider Details

I. General information

NPI: 1225496466
Provider Name (Legal Business Name): KRISTIN ROBINSON APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/02/2016
Last Update Date: 10/17/2024
Certification Date: 05/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2130 FIRST ST
SLIDELL LA
70458
US

IV. Provider business mailing address

98 OPENWOOD DR WEST
CARRIERE MS
39426
US

V. Phone/Fax

Practice location:
  • Phone: 985-288-4319
  • Fax: 985-781-4319
Mailing address:
  • Phone: 985-781-0548
  • Fax: 985-781-4319

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP08641
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: