Provider Demographics
NPI:1942237482
Name:ROBINSON, TRACEY L (NP)
Entity Type:Individual
Prefix:MS
First Name:TRACEY
Middle Name:L
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:410 42ND AVE N STE 301
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-3656
Mailing Address - Country:US
Mailing Address - Phone:615-620-7800
Mailing Address - Fax:615-620-7805
Practice Address - Street 1:410 42ND AVE N STE 301
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37209-3656
Practice Address - Country:US
Practice Address - Phone:615-620-7800
Practice Address - Fax:615-620-7805
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN7738363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ24417Medicare UPIN
TN39298871Medicare PIN
TN3929888Medicare PIN