Provider Demographics
NPI:1184038135
Name:ROBINSON, IESHIAH SHERMAINE
Entity Type:Individual
Prefix:
First Name:IESHIAH
Middle Name:SHERMAINE
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6400 SW 20TH AVE APT 8
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32607-3512
Mailing Address - Country:US
Mailing Address - Phone:352-682-4150
Mailing Address - Fax:
Practice Address - Street 1:6400 SW 20TH AVE APT 8
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32607-3512
Practice Address - Country:US
Practice Address - Phone:352-682-4150
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-18
Last Update Date:2014-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL273564376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide