Provider Demographics
NPI:1811700016
Name:ROBY, JULETA MARIE (APRN)
Entity type:Individual
Prefix:
First Name:JULETA
Middle Name:MARIE
Last Name:ROBY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4153 MILES JOHNSON PKWY
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:TN
Mailing Address - Zip Code:37174-4562
Mailing Address - Country:US
Mailing Address - Phone:773-612-9656
Mailing Address - Fax:
Practice Address - Street 1:4153 MILES JOHNSON PKWY
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:TN
Practice Address - Zip Code:37174-4562
Practice Address - Country:US
Practice Address - Phone:773-612-9656
Practice Address - Fax:773-612-9656
Is Sole Proprietor?:No
Enumeration Date:2025-01-30
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN38038363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily