Provider Demographics
NPI:1992017669
Name:ROBINSON, BILLIE JO (RN)
Entity Type:Individual
Prefix:MRS
First Name:BILLIE
Middle Name:JO
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:BILLIE
Other - Middle Name:JO
Other - Last Name:MYERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:910 NOLAND DR
Mailing Address - Street 2:
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21740-7109
Mailing Address - Country:US
Mailing Address - Phone:240-291-6980
Mailing Address - Fax:
Practice Address - Street 1:910 NOLAND DR
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21740-7109
Practice Address - Country:US
Practice Address - Phone:240-291-6980
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-09
Last Update Date:2010-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR181076163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse