Provider Demographics
NPI:1720807464
Name:ROBINSON, TALISHA DANEE (MSN, RN)
Entity type:Individual
Prefix:MRS
First Name:TALISHA
Middle Name:DANEE
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:MSN, RN
Other - Prefix:
Other - First Name:TALISHA
Other - Middle Name:DANEE
Other - Last Name:MATTHEWS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9601 ROGANO CT
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76542-6503
Mailing Address - Country:US
Mailing Address - Phone:817-863-0305
Mailing Address - Fax:
Practice Address - Street 1:3404 KAYDENCE CT
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76542-3338
Practice Address - Country:US
Practice Address - Phone:254-499-8741
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-09
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX819416207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine