Provider Demographics
NPI:1780817122
Name:ROBINSON, JOHNNIE LIGONS (RN)
Entity Type:Individual
Prefix:MRS
First Name:JOHNNIE
Middle Name:LIGONS
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2635 WOODRIDGEMANOR DRIVE
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77087
Mailing Address - Country:US
Mailing Address - Phone:713-410-2539
Mailing Address - Fax:281-501-2675
Practice Address - Street 1:2635 WOODRIDGEMANOR DRIVE
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77087
Practice Address - Country:US
Practice Address - Phone:713-410-2539
Practice Address - Fax:281-501-2675
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-02
Last Update Date:2010-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX534559163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse