Provider Demographics
NPI:1972823359
Name:ROBINSON, CASSIE C (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:CASSIE
Middle Name:C
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3301 TININ DR
Mailing Address - Street 2:
Mailing Address - City:CORINTH
Mailing Address - State:MS
Mailing Address - Zip Code:38834-9054
Mailing Address - Country:US
Mailing Address - Phone:662-665-9111
Mailing Address - Fax:662-665-9118
Practice Address - Street 1:3301 TININ DR
Practice Address - Street 2:
Practice Address - City:CORINTH
Practice Address - State:MS
Practice Address - Zip Code:38834-9054
Practice Address - Country:US
Practice Address - Phone:662-665-9111
Practice Address - Fax:662-665-9118
Is Sole Proprietor?:No
Enumeration Date:2010-06-08
Last Update Date:2011-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR867782363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily