Provider Demographics
NPI:1700035029
Name:HENSON, ROBIN MARCY (DNP FNPC)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:MARCY
Last Name:HENSON
Suffix:
Gender:F
Credentials:DNP FNPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 N PRESTON RD
Mailing Address - Street 2:STE B
Mailing Address - City:PROSPER
Mailing Address - State:TX
Mailing Address - Zip Code:75078-8634
Mailing Address - Country:US
Mailing Address - Phone:972-347-1320
Mailing Address - Fax:972-347-1322
Practice Address - Street 1:301 N PRESTON RD
Practice Address - Street 2:STE B
Practice Address - City:PROSPER
Practice Address - State:TX
Practice Address - Zip Code:75078-8634
Practice Address - Country:US
Practice Address - Phone:972-347-1320
Practice Address - Fax:972-347-1322
Is Sole Proprietor?:No
Enumeration Date:2008-09-10
Last Update Date:2019-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX616839363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX616839OtherSTATE LICENSE