Healthcare Provider Details

I. General information

NPI: 1215439542
Provider Name (Legal Business Name): KERRY ANN ALECIA ROBINSON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/02/2018
Last Update Date: 03/02/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 PATTERSON ST
NASHVILLE TN
37203-1538
US

IV. Provider business mailing address

217 TOOK DR
ANTIOCH TN
37013-1946
US

V. Phone/Fax

Practice location:
  • Phone: 615-342-1000
  • Fax:
Mailing address:
  • Phone: 615-554-3465
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number201479
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: