Provider Demographics
NPI:1164898474
Name:MURPHREE, ROBIN (CFNP)
Entity Type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:
Last Name:MURPHREE
Suffix:
Gender:F
Credentials:CFNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 PARTNERSHIP WAY
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MS
Mailing Address - Zip Code:39429-4502
Mailing Address - Country:US
Mailing Address - Phone:601-736-6443
Mailing Address - Fax:601-736-4641
Practice Address - Street 1:100 HIGHWAY 535
Practice Address - Street 2:
Practice Address - City:SEMINARY
Practice Address - State:MS
Practice Address - Zip Code:39479-8809
Practice Address - Country:US
Practice Address - Phone:601-722-3208
Practice Address - Fax:601-722-3304
Is Sole Proprietor?:No
Enumeration Date:2015-08-20
Last Update Date:2017-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR877401363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS45885ZYR57Medicare PIN