MRS. SALLYE ANN ROBERSON (NPI# 1619205069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619205069 |
| Entity Type | Individual |
| Full Name | MRS. SALLYE ANN ROBERSON |
| Other Name | MRS. SALLYE MILEY |
| Credential | PNP |
| Practice Address |
24345 Highway 15 Union MS 39365-8575 |
| Mailing Address |
3373 Champion Hills Dr Southaven MS 38672-7542 |
| Practice Telephone | 6017748211 |
| Mailing Telephone | 6014169356 |
| Enumeration Date | 2009-11-23 |
| Last Update Date | 2020-06-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
R869919 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
24345 HIGHWAY 15 |
| City | UNION |
| State | MS |
| Zip Code | 39365-8575 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700868452 | Russell E. Belenchia | Family Medicine | 24345 Highway 15, Union, MS 39365-8575 | 2005-11-17 |
| 1518349984 | Christopher Moore | Family Medicine | 24345 Highway 15, Union, MS 39365 | 2015-06-22 |
| 1851643928 | Laird Hospital, Inc. | Family Medicine | 24345 Highway 15, Union, MS 39365-8575 | 2012-10-12 |
| 1104036177 | Mary Elizabeth Spreafico | Nurse Practitioner | 24345 Highway 15, Union, MS 39365-8575 | 2007-05-22 |
| 1336124932 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 24345 Highway 15, Union, MS 39365-8575 | 2005-12-07 |
| 1518949262 | Glenda R. Barrett | Nurse Practitioner | 24345 Highway 15, Union, MS 39365-8575 | 2005-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861849614 | Telehealthone LLC | Nurse Practitioner | 801 East Jackson Street, Union, MS 39365 | 2016-05-23 |
| 1912065434 | Union Discount Pharmacy | Pharmacy | 25025 Hwy 15, Union, MS 39365 | 2006-12-05 |
| 1679531438 | Alliance-laird Nursing Home, LLC | Nursing Facility/Intermediate Care Facility | 25112 Hwy 15, Union, MS 39365 | 2006-05-02 |
| 1144753823 | Quinn's Family Pharmacy, Inc | Pharmacy | 24944 Hwy 15, Union, MS 39365-1565 | 2017-04-10 |
| 1740212687 | Freds Stores of Tennessee Inc | Pharmacy | 801 E Jackson Rd, Union, MS 39365-2213 | 2006-07-07 |
| 1609427533 | Scpg Mississippi LLC | Pharmacy | 801 E Jackson Rd, Union, MS 39365-2213 | 2019-09-23 |
| 1154586089 | Emily Nail Fleming | Optometrist | 210 Bank St, Union, MS 39365-2504 | 2008-07-21 |
| 1053556597 | Union Eye Care LLC | Optometrist | 109 Main St, Union, MS 39365-2519 | 2008-12-12 |
| 1487825444 | L. B. Adkins, O.d | Optometrist | 109 Main St, Union, MS 39365-2519 | 2008-03-18 |
| 1730265489 | L B Adkins | Optometrist | 109 Main St, Union, MS 39365-2519 | 2006-10-27 |
| Find all providers in zip 39365 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558985812 | Kristine Esguerra | Nurse Practitioner | 853 Sheridan St, Union, NJ 07083-6564 | 2020-06-02 |
| 1083862874 | Catherine M Coffey | Nurse Practitioner | 142 Dearborn St, Union, OR 97883 | 2008-09-04 |
| 1326605635 | Sally Gallman Robinson | Nurse Practitioner | 407 W South St, Union, SC 29379-2771 | 2019-05-22 |
| 1659645612 | Mollie L Huskey | Nurse Practitioner | 407 W South St, Union, SC 29379-2771 | 2012-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376142943 | Ashley B Chittenden | Nurse Practitioner | 3480 Avis Ln, Southaven, MS 38672-2010 | 2020-10-23 |
| 1437760881 | Elizabeth Smith | Nurse Practitioner | 3631 Bienville Blvd Ste A, Ocean Springs, MS 39564-5702 | 2020-08-10 |
| 1750879003 | Heather Lynn Theisen | Nurse Practitioner | 15190 Community Rd Ste 330, Gulfport, MS 39503 | 2018-04-23 |
| 1972021608 | Dana Brooke Underwood | Nurse Practitioner | 1300 Access Rd Ste 400, Oxford, MS 38655-5211 | 2017-09-01 |
| 1891233276 | Optimum Healthcare Associates, Pa | Nurse Practitioner | 5350 Executive Pl, Suite 8, Jackson, MS 39206-4100 | 2017-02-06 |
| 1386020113 | Stefanie Taylor Christy | Nurse Practitioner | 3654b New Hope Rd, Columbus, MS 39702-8521 | 2015-08-04 |
| 1861808974 | Ashley Hickman | Nurse Practitioner | 224 S Church St Ste B, Brookhaven, MS 39601-3232 | 2014-07-09 |
| 1528486289 | Thomas Stallworth | Nurse Practitioner | 4105 Hospital St Ste 104, Pascagoula, MS 39581 | 2014-03-31 |
| 1962744482 | Kendra Watts | Nurse Practitioner | 1016 Sixth Ave Ste C, Picayune, MS 39466-3861 | 2013-03-22 |
| 1730340563 | Kayti A Powell | Nurse Practitioner | 1488 Hwy 487 East, Sebastopol, MS 39359-0150 | 2008-06-24 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MRS. SALLYE ANN ROBERSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.