Provider Demographics
NPI:1295031235
Name:HARMON, ROBBIE M (NP)
Entity Type:Individual
Prefix:MRS
First Name:ROBBIE
Middle Name:M
Last Name:HARMON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:339 SIMTAL LN
Mailing Address - Street 2:
Mailing Address - City:BEECHGROVE
Mailing Address - State:TN
Mailing Address - Zip Code:37018-3769
Mailing Address - Country:US
Mailing Address - Phone:931-632-0301
Mailing Address - Fax:
Practice Address - Street 1:6015 LEDFORD MILL RD
Practice Address - Street 2:
Practice Address - City:TULLAHOMA
Practice Address - State:TN
Practice Address - Zip Code:37388-7972
Practice Address - Country:US
Practice Address - Phone:615-867-6000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-09
Last Update Date:2019-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000012583363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNAPN0000012583OtherARN LICENSE
TNRN0000050238OtherRN LICENCE
TN2006007240-28OtherANCC BOARD CERTIFICATION