Provider Demographics
NPI:1194464966
Name:ROBINSON, BETHANY (DNP, PMHNP-C)
Entity type:Individual
Prefix:DR
First Name:BETHANY
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:DNP, PMHNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4945 MINGO RD
Mailing Address - Street 2:
Mailing Address - City:BELVIDERE
Mailing Address - State:TN
Mailing Address - Zip Code:37306-2617
Mailing Address - Country:US
Mailing Address - Phone:256-708-3032
Mailing Address - Fax:
Practice Address - Street 1:100 1ST AVE SW STE 202E
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:TN
Practice Address - Zip Code:37398-1754
Practice Address - Country:US
Practice Address - Phone:256-929-6188
Practice Address - Fax:256-918-3555
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-01
Last Update Date:2024-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN221840363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health