Healthcare Provider Details

I. General information

NPI: 1982948469
Provider Name (Legal Business Name): JAMES G ROBINSON FNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/21/2012
Last Update Date: 11/21/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4601 LAKE BOONE TRL
RALEIGH NC
27607-7503
US

IV. Provider business mailing address

1021 VESTAVIA WOODS DR
RALEIGH NC
27615-4609
US

V. Phone/Fax

Practice location:
  • Phone: 919-781-1800
  • Fax:
Mailing address:
  • Phone: 919-247-4822
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5005941
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: