Healthcare Provider Details

I. General information

NPI: 1669968137
Provider Name (Legal Business Name): CHERI DENISE ROBISON MSN, APRN, NNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2018
Last Update Date: 08/02/2023
Certification Date: 08/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

877 JEFFERSON AVE
MEMPHIS TN
38103-2807
US

IV. Provider business mailing address

5621 HEATHER OAK DR
ARLINGTON TN
38002-8559
US

V. Phone/Fax

Practice location:
  • Phone: 901-545-7366
  • Fax:
Mailing address:
  • Phone: 404-431-5068
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License Number29100
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: