Provider Demographics
NPI:1942727946
Name:RIDDLE, ROBIN LEIGH (MSN, NP-C)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:LEIGH
Last Name:RIDDLE
Suffix:
Gender:F
Credentials:MSN, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10820 KINGSTON PIKE STE 9
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37934-3065
Mailing Address - Country:US
Mailing Address - Phone:865-383-7600
Mailing Address - Fax:779-204-2368
Practice Address - Street 1:10820 KINGSTON PIKE STE 9
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37934-3065
Practice Address - Country:US
Practice Address - Phone:865-383-7600
Practice Address - Fax:779-204-2368
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-29
Last Update Date:2021-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN22972363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner