Provider Demographics
NPI:1154454361
Name:PULLIAM, ROBIN RISHER (RN,APRN,BC)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:RISHER
Last Name:PULLIAM
Suffix:
Gender:F
Credentials:RN,APRN,BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 COVEY DR
Mailing Address - Street 2:SUITE 204
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-5665
Mailing Address - Country:US
Mailing Address - Phone:615-791-4790
Mailing Address - Fax:615-791-4531
Practice Address - Street 1:100 COVEY DR
Practice Address - Street 2:SUITE 204
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-5665
Practice Address - Country:US
Practice Address - Phone:615-791-4790
Practice Address - Fax:615-791-4531
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6311363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN6311OtherSTATE LICENSE NUMBER