Individual
TIMOTHY R ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP
Contact information
Practice address
3101 DENNY AVE, SUITE 240, PASCAGOULA, MS 39581-5307
(228) 769-0276
Mailing address
22506 SONORA DR, MOSS POINT, MS 39562-6451
(228) 588-0867
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R859435
MS
Other
Enumeration date
04/11/2012
Last updated
04/11/2012
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