Provider Demographics
NPI:1790315729
Name:DOCKINS, ROBIN ANNETTE (NP)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:ANNETTE
Last Name:DOCKINS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 720602
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73172-0602
Mailing Address - Country:US
Mailing Address - Phone:405-215-7971
Mailing Address - Fax:
Practice Address - Street 1:11404 BLUFF CREEK DR
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73162-3725
Practice Address - Country:US
Practice Address - Phone:405-215-7971
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-17
Last Update Date:2020-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKROO72265363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health