Provider Demographics
NPI:1821142977
Name:ROBINSON, ORA L (DNP)
Entity Type:Individual
Prefix:MRS
First Name:ORA
Middle Name:L
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:ORA
Other - Middle Name:L
Other - Last Name:ROBINSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:2946 COVINGTON PIKE
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38128-6007
Mailing Address - Country:US
Mailing Address - Phone:844-378-4263
Mailing Address - Fax:866-389-5979
Practice Address - Street 1:2946 COVINGTON PIKE
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38128-6007
Practice Address - Country:US
Practice Address - Phone:844-378-4263
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2023-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN8020363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN5440911Medicaid