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Individual

MRS. CHERYL GUSTAVIS ROBINSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 362-4471
(601) 364-1327
Mailing address
6013 HANGING MOSS RD, JACKSON, MS 39206-2120
(601) 982-9325

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R597686
MS
163WC0400X
Case Management Registered Nurse
R597686
MS
363LF0000X
Family Nurse Practitioner
Primary
R597686
MS

Other

Enumeration date
07/18/2006
Last updated
04/01/2013
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