Provider Demographics
NPI:1598938094
Name:ROBINSON, CHRISTINA NICHOLE (BS, RD, LDN)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:NICHOLE
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:BS, RD, LDN
Other - Prefix:MISS
Other - First Name:CHRISTINA
Other - Middle Name:NICHOLE
Other - Last Name:GILES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BS, RD, LDN
Mailing Address - Street 1:556 RILLBROOK DR
Mailing Address - Street 2:
Mailing Address - City:COLLIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38017-1822
Mailing Address - Country:US
Mailing Address - Phone:901-383-0031
Mailing Address - Fax:
Practice Address - Street 1:1033 COURTFIELD CV
Practice Address - Street 2:
Practice Address - City:COLLIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:38017-3280
Practice Address - Country:US
Practice Address - Phone:901-383-0031
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-07
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
85007405133V00000X
TNLDN0000001937133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered