Provider Demographics
NPI:1245193192
Name:FISK, ROBIN (RN)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:
Last Name:FISK
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2743 PERIMETER PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30909-6415
Mailing Address - Country:US
Mailing Address - Phone:706-619-2058
Mailing Address - Fax:855-236-4893
Practice Address - Street 1:2743 PERIMETER PKWY STE 100
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30909-6415
Practice Address - Country:US
Practice Address - Phone:706-619-2058
Practice Address - Fax:855-236-4893
Is Sole Proprietor?:No
Enumeration Date:2025-12-08
Last Update Date:2025-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN106461163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse