Provider Demographics
NPI:1114251790
Name:ROBBINS, SHIRLEY RUTH (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:SHIRLEY
Middle Name:RUTH
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2630 GILLIAM CIR
Mailing Address - Street 2:
Mailing Address - City:TALBOTT
Mailing Address - State:TN
Mailing Address - Zip Code:37877-3116
Mailing Address - Country:US
Mailing Address - Phone:865-323-4776
Mailing Address - Fax:
Practice Address - Street 1:5511 KINGSTON PIKE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-5025
Practice Address - Country:US
Practice Address - Phone:865-323-4776
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-29
Last Update Date:2016-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000014363363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily