MEDICARE: CHERI DENISE ROBISON MSN, APRN, NNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LN0000X	Neonatal Nurse Practitioner	NP004477	GA
2	363LN0000X	Neonatal Nurse Practitioner	29100	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669968137
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHERI DENISE ROBISON MSN, APRN, NNP-BC

Provider Business Mailing Address
First Line	:	1105 WEDGEWOOD DR
Second Line	:
City	:	FAYETTEVILLE
State	:	GA
Zip	:	30214-1339
Country	:	US
Telephone Number	:	404-431-5068
Fax Number	:

Provider Business Practice Location Address
First Line	:	2701 N DECATUR RD
Second Line	:
City	:	DECATUR
State	:	GA
Zip	:	30033-5918
Country	:	US
Telephone Number	:	404-431-5068
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2018
Last Update Date	:	04/14/2026

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