Individual
CARLEY RENEE ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1203 AVE B, STE 200, ELLISVILLE, MS 39437-2080
(601) 477-3550
(601) 477-2236
Mailing address
PO BOX 247, LAUREL, MS 39441-0247
(601) 399-6100
(601) 399-6281
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R860565
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01787021
—
MS
Enumeration date
03/22/2012
Last updated
09/28/2018
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