Provider Demographics
NPI:1376108894
Name:STINSON, ROBIN (NURSE PRACTITIIONER)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:
Last Name:STINSON
Suffix:
Gender:F
Credentials:NURSE PRACTITIIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:274 WHITFIELD ROAD
Mailing Address - Street 2:
Mailing Address - City:MOULTRIE
Mailing Address - State:GA
Mailing Address - Zip Code:31768
Mailing Address - Country:US
Mailing Address - Phone:229-454-9623
Mailing Address - Fax:
Practice Address - Street 1:5357 SHILOH RD
Practice Address - Street 2:
Practice Address - City:HAHIRA
Practice Address - State:GA
Practice Address - Zip Code:31632-2321
Practice Address - Country:US
Practice Address - Phone:229-740-7639
Practice Address - Fax:888-463-8873
Is Sole Proprietor?:No
Enumeration Date:2019-05-09
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA11001846363L00000X
GA227434363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner