Provider Demographics
NPI:1508669128
Name:ROBIN, KEITH STERLING JR (PMHNP-BC)
Entity type:Individual
Prefix:MR
First Name:KEITH
Middle Name:STERLING
Last Name:ROBIN
Suffix:JR
Gender:
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:69315 BROWN ST
Mailing Address - Street 2:
Mailing Address - City:MANDEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70471-8071
Mailing Address - Country:US
Mailing Address - Phone:504-913-1118
Mailing Address - Fax:
Practice Address - Street 1:69315 BROWN ST
Practice Address - Street 2:
Practice Address - City:MANDEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70471-8071
Practice Address - Country:US
Practice Address - Phone:504-913-1118
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-29
Last Update Date:2025-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA240003363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health