Provider Demographics
NPI:1427550250
Name:ROBISON, KAYLI ELIZABETH (FNP)
Entity type:Individual
Prefix:
First Name:KAYLI
Middle Name:ELIZABETH
Last Name:ROBISON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3662
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75606-3662
Mailing Address - Country:US
Mailing Address - Phone:903-315-3966
Mailing Address - Fax:903-230-0795
Practice Address - Street 1:703 E MARSHALL AVE STE 4002
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75601-5622
Practice Address - Country:US
Practice Address - Phone:903-315-3966
Practice Address - Fax:903-230-0795
Is Sole Proprietor?:No
Enumeration Date:2018-03-07
Last Update Date:2020-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP136414363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily