Provider Demographics
NPI:1154465425
Name:PINGETON, ROBIN (FNP)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:
Last Name:PINGETON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 BETHELVIEW RD STE 100-332
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30040-9475
Mailing Address - Country:US
Mailing Address - Phone:800-689-3431
Mailing Address - Fax:866-892-3005
Practice Address - Street 1:2300 BETHELVIEW RD STE 100-332
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30040-9475
Practice Address - Country:US
Practice Address - Phone:800-689-3431
Practice Address - Fax:866-892-3005
Is Sole Proprietor?:No
Enumeration Date:2007-02-19
Last Update Date:2020-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN114408363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily