Provider Demographics
NPI:1114786514
Name:ROBINSON, TERESA LYNN (FNP-BC)
Entity type:Individual
Prefix:
First Name:TERESA
Middle Name:LYNN
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:TERESA
Other - Middle Name:LYNN
Other - Last Name:ROBINSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP-BC
Mailing Address - Street 1:295 WHARTON LN NE
Mailing Address - Street 2:
Mailing Address - City:NORTON
Mailing Address - State:VA
Mailing Address - Zip Code:24273-1541
Mailing Address - Country:US
Mailing Address - Phone:276-260-9991
Mailing Address - Fax:276-260-9717
Practice Address - Street 1:295 WHARTON LN NE
Practice Address - Street 2:
Practice Address - City:NORTON
Practice Address - State:VA
Practice Address - Zip Code:24273-1541
Practice Address - Country:US
Practice Address - Phone:276-260-9991
Practice Address - Fax:276-260-9717
Is Sole Proprietor?:No
Enumeration Date:2024-03-18
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024190964363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily