Provider Demographics
NPI:1699008672
Name:ISAACKS, ROBIN LYNN (APN)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:LYNN
Last Name:ISAACKS
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:ROBIN
Other - Middle Name:LYNN
Other - Last Name:SPENCER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 497
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:AR
Mailing Address - Zip Code:72006-0497
Mailing Address - Country:US
Mailing Address - Phone:870-347-2534
Mailing Address - Fax:870-347-3492
Practice Address - Street 1:821 EAST PARK STREET, HIGHWAY 70
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:AR
Practice Address - Zip Code:72024
Practice Address - Country:US
Practice Address - Phone:870-347-2534
Practice Address - Fax:870-347-2492
Is Sole Proprietor?:No
Enumeration Date:2009-09-09
Last Update Date:2011-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARPA-381363AM0700X
ARP-T0922363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR57297P206Medicare PIN
AR57297Medicare PIN