Provider Demographics
NPI:1831105964
Name:ROBINSON, STEPHONY L (APN)
Entity Type:Individual
Prefix:MS
First Name:STEPHONY
Middle Name:L
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:APN
Other - Prefix:MS
Other - First Name:STEPHONY
Other - Middle Name:L
Other - Last Name:GATLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP, FNP-BC
Mailing Address - Street 1:46 N BRANCH RD
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32459-7553
Mailing Address - Country:US
Mailing Address - Phone:410-382-2823
Mailing Address - Fax:
Practice Address - Street 1:46 N BRANCH RD
Practice Address - Street 2:
Practice Address - City:SANTA ROSA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32459-7553
Practice Address - Country:US
Practice Address - Phone:410-382-2823
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2015-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9347247363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily