Healthcare Provider Details

I. General information

NPI: 1962055061
Provider Name (Legal Business Name): RENEE AYERS ROBINSON MSN,FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/18/2019
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

944 LONG BRANCH RD
GREEN MOUNTAIN NC
28740-6056
US

IV. Provider business mailing address

944 LONG BRANCH RD
GREEN MOUNTAIN NC
28740-6056
US

V. Phone/Fax

Practice location:
  • Phone: 828-740-8404
  • Fax: 828-392-8240
Mailing address:
  • Phone: 828-740-8404
  • Fax: 828-392-8240

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number5012036
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: