Provider Demographics
NPI:1174878805
Name:ROBINSON, FA LEASHA J (RN)
Entity type:Individual
Prefix:MS
First Name:FA LEASHA
Middle Name:J
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:7417 KINGSTON PIKE
Mailing Address - Street 2:STE 105
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-5606
Mailing Address - Country:US
Mailing Address - Phone:865-330-2336
Mailing Address - Fax:877-316-8248
Practice Address - Street 1:7417 KINGSTON PIKE
Practice Address - Street 2:STE 105
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-5606
Practice Address - Country:US
Practice Address - Phone:865-330-2336
Practice Address - Fax:877-316-8248
Is Sole Proprietor?:No
Enumeration Date:2012-07-18
Last Update Date:2012-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN0000167221163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health