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Individual

MRS. CYNTHIA LYNN ROBERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN-BC

Contact information

Practice address
238 SUMMAR DR, JACKSON, TN 38301-3906
(731) 541-8200
Mailing address
238 SUMMAR DR, JACKSON, TN 38301-3906
(731) 541-8200

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
14257
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1515018
TN
01
P00753712
RAILROAD MEDICARE
TN
Enumeration date
08/06/2009
Last updated
07/16/2015
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