Healthcare Provider Details

I. General information

NPI: 1518510247
Provider Name (Legal Business Name): JULIANNE ROBINSON NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2019
Last Update Date: 04/22/2023
Certification Date: 04/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 SOLANA BLVD
WESTLAKE TX
76262-1659
US

IV. Provider business mailing address

619 19TH ST S STE P915
BIRMINGHAM AL
35233-1900
US

V. Phone/Fax

Practice location:
  • Phone: 855-768-6363
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberRN254422
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: