Provider Demographics
NPI:1487351425
Name:ROBINSON, AKEELAH LEANA (APN)
Entity type:Individual
Prefix:MS
First Name:AKEELAH
Middle Name:LEANA
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:189 POOR ST
Mailing Address - Street 2:
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-1710
Mailing Address - Country:US
Mailing Address - Phone:201-310-7127
Mailing Address - Fax:
Practice Address - Street 1:1145 BEACON AVE STE A
Practice Address - Street 2:
Practice Address - City:MANAHAWKIN
Practice Address - State:NJ
Practice Address - Zip Code:08050-2471
Practice Address - Country:US
Practice Address - Phone:609-597-1991
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-09
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ01430300363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily