Provider Demographics
NPI:1003875766
Name:OWENS-RAILEY, ROBIN MICHELLE (ARNP)
Entity type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:MICHELLE
Last Name:OWENS-RAILEY
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3266 BRIDGECOVE CIR E
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-5773
Mailing Address - Country:US
Mailing Address - Phone:904-463-6602
Mailing Address - Fax:904-733-8467
Practice Address - Street 1:3266 BRIDGECOVE CIR E
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-5773
Practice Address - Country:US
Practice Address - Phone:904-463-6602
Practice Address - Fax:904-733-8467
Is Sole Proprietor?:No
Enumeration Date:2006-03-21
Last Update Date:2011-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1547502363L00000X, 363LN0000X, 363LN0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LN0005XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal, Critical Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL3007219-00Medicaid
FL500015820Medicare PIN
FLY5995ZMedicare PIN
FLY5995YMedicare PIN
FLS74592Medicare UPIN