Provider Demographics
NPI:1114438132
Name:CROSS-ROBINSON, ANICIA (DNP, FNP-C, PMHNP-BC)
Entity Type:Individual
Prefix:DR
First Name:ANICIA
Middle Name:
Last Name:CROSS-ROBINSON
Suffix:
Gender:F
Credentials:DNP, FNP-C, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2984 COOPER WOODS LN
Mailing Address - Street 2:
Mailing Address - City:LOGANVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30052-8212
Mailing Address - Country:US
Mailing Address - Phone:048-360-8764
Mailing Address - Fax:404-481-2448
Practice Address - Street 1:2984 COOPER WOODS LN
Practice Address - Street 2:
Practice Address - City:LOGANVILLE
Practice Address - State:GA
Practice Address - Zip Code:30052-8212
Practice Address - Country:US
Practice Address - Phone:404-384-6368
Practice Address - Fax:404-481-2448
Is Sole Proprietor?:No
Enumeration Date:2017-10-17
Last Update Date:2023-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN162295363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily