Provider Demographics
NPI:1881245983
Name:ROBINSON, NEACOL (PMHNP-BC, APRN, CNP)
Entity type:Individual
Prefix:
First Name:NEACOL
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:PMHNP-BC, APRN, CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1822 SOUTHERN PKWY
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45506-3115
Mailing Address - Country:US
Mailing Address - Phone:585-330-8330
Mailing Address - Fax:
Practice Address - Street 1:2621 DRYDEN RD STE 100
Practice Address - Street 2:
Practice Address - City:MORAINE
Practice Address - State:OH
Practice Address - Zip Code:45439-1646
Practice Address - Country:US
Practice Address - Phone:937-281-0900
Practice Address - Fax:937-938-9751
Is Sole Proprietor?:No
Enumeration Date:2019-09-20
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0030135363LP0808X
OH421348163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health