Provider Demographics
NPI:1952917494
Name:ROBISON, MEGAN (AGNP-C)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:ROBISON
Suffix:
Gender:F
Credentials:AGNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1070 GABRIELLE ELAINE DR APT 205
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43228-8832
Mailing Address - Country:US
Mailing Address - Phone:740-506-2710
Mailing Address - Fax:
Practice Address - Street 1:2405 N COLUMBUS ST STE 280
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130-7946
Practice Address - Country:US
Practice Address - Phone:740-689-4470
Practice Address - Fax:740-808-8157
Is Sole Proprietor?:No
Enumeration Date:2020-09-21
Last Update Date:2022-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAG06200204363LG0600X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology