Provider Demographics
NPI:1174134019
Name:PHILLIPS, ROBIN LYNNE (APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:LYNNE
Last Name:PHILLIPS
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 GREENFIELD DR
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:AR
Mailing Address - Zip Code:72364-2677
Mailing Address - Country:US
Mailing Address - Phone:870-945-1230
Mailing Address - Fax:
Practice Address - Street 1:1139 STATE HIGHWAY 77
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:AR
Practice Address - Zip Code:72364-9027
Practice Address - Country:US
Practice Address - Phone:870-559-2480
Practice Address - Fax:870-559-2555
Is Sole Proprietor?:No
Enumeration Date:2020-08-13
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR125577363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily