Provider Demographics
NPI:1700821634
Name:SHEETS, ROBIN JENNA (CNP)
Entity Type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:JENNA
Last Name:SHEETS
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 RIVER VALLEY BLVD
Mailing Address - Street 2:FIRST MEDICAL
Mailing Address - City:LANCASTER
Mailing Address - State:OH
Mailing Address - Zip Code:43130-1659
Mailing Address - Country:US
Mailing Address - Phone:740-687-2273
Mailing Address - Fax:740-687-9059
Practice Address - Street 1:1201 RIVER VALLEY BLVD
Practice Address - Street 2:FIRST MEDICAL
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130-1659
Practice Address - Country:US
Practice Address - Phone:740-687-2273
Practice Address - Fax:740-687-9059
Is Sole Proprietor?:No
Enumeration Date:2006-06-17
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHNP00806363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA408422OtherCALIFORNIA LICENSE NUMBER
OHNP00806OtherOHIO LICENSE NUMBER
OHMS0847876OtherDEA
OHMS0847876OtherDEA
OHMS0847876OtherDEA