Provider Demographics
NPI:1497535918
Name:ROBINSON-MUHAMMAD, TIOMBE
Entity Type:Individual
Prefix:
First Name:TIOMBE
Middle Name:
Last Name:ROBINSON-MUHAMMAD
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:PO BOX 104
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27528-0104
Mailing Address - Country:US
Mailing Address - Phone:984-480-1375
Mailing Address - Fax:984-250-6031
Practice Address - Street 1:5611 NC HIGHWAY 55 STE 203
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-4395
Practice Address - Country:US
Practice Address - Phone:984-480-1375
Practice Address - Fax:984-250-6031
Is Sole Proprietor?:No
Enumeration Date:2023-10-02
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC213310376K00000X, 163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
No376K00000XNursing Service Related ProvidersNurse's Aide