Provider Demographics
NPI:1043823073
Name:ROBINSON, CHANTAL (DNP, APRN, A-GPC-C)
Entity type:Individual
Prefix:MRS
First Name:CHANTAL
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:DNP, APRN, A-GPC-C
Other - Prefix:
Other - First Name:CHANTAL
Other - Middle Name:
Other - Last Name:STUBBLEFIELD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP, APRN, A-GPC-C
Mailing Address - Street 1:PO BOX 636256
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-6256
Mailing Address - Country:US
Mailing Address - Phone:513-585-6200
Mailing Address - Fax:513-245-3672
Practice Address - Street 1:222 PIEDMONT AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45219-4231
Practice Address - Country:US
Practice Address - Phone:513-475-8787
Practice Address - Fax:513-929-7239
Is Sole Proprietor?:No
Enumeration Date:2020-08-28
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0030469363L00000X, 363LA2200X, 363LP2300X
OHRN.321246163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care