Provider Demographics
NPI:1194289165
Name:ADAM, ROBIN (APRN)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:
Last Name:ADAM
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 1:136 SAINT ANDREWS DR
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37069-7063
Mailing Address - Country:US
Mailing Address - Phone:615-278-2241
Mailing Address - Fax:615-206-7587
Practice Address - Street 1:131 MAYFIELD DR
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:TN
Practice Address - Zip Code:37167-3018
Practice Address - Country:US
Practice Address - Phone:615-278-2241
Practice Address - Fax:615-206-7587
Is Sole Proprietor?:No
Enumeration Date:2019-01-24
Last Update Date:2019-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN25124363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health