Provider Demographics
NPI:1356216097
Name:DAVIS, ROBIN LYNN (DNP, RN)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:LYNN
Last Name:DAVIS
Suffix:
Gender:F
Credentials:DNP, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3021 HEREFORD RD
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24018-2733
Mailing Address - Country:US
Mailing Address - Phone:540-312-7559
Mailing Address - Fax:
Practice Address - Street 1:3021 HEREFORD RD
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24018-2733
Practice Address - Country:US
Practice Address - Phone:540-312-7559
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-10
Last Update Date:2025-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001197776163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health