Healthcare Provider Details

I. General information

NPI: 1669464863
Provider Name (Legal Business Name): APRIL DENHAM ROBBINS CFNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: APRIL ELIZABETH DENHAM FNP

II. Dates (important events)

Enumeration Date: 08/16/2005
Last Update Date: 01/09/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1561 HWY 30 WEST
MYRTLE MS
38650
US

IV. Provider business mailing address

15921 BOUNDARY DR
ASHLAND MS
38603-7740
US

V. Phone/Fax

Practice location:
  • Phone: 662-534-0033
  • Fax: 662-539-0039
Mailing address:
  • Phone: 662-566-5593
  • Fax: 662-566-4419

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR860041
License Number StateMS
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR860041
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: