Provider Demographics
NPI:1871704148
Name:BERRYMAN, ROBYN ELIZABETH (NNP-BC, MSN)
Entity type:Individual
Prefix:MS
First Name:ROBYN
Middle Name:ELIZABETH
Last Name:BERRYMAN
Suffix:
Gender:F
Credentials:NNP-BC, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4534 ATTLEBORO ST
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32205-5037
Mailing Address - Country:US
Mailing Address - Phone:303-549-9755
Mailing Address - Fax:
Practice Address - Street 1:2080 CHILD ST
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32214-5411
Practice Address - Country:US
Practice Address - Phone:904-542-6634
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-25
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95003206363LN0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0005XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal, Critical Care