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NPI 1750410338

NPI 1750410338 : KRISTINA MICHELLE ROBERSON DNP, FNP-C : JAMESTOWN, NC

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General NPI Number Information
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    NPI Number           |    1750410338
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    Entity Type          |    Individual 
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    Provider Name        |    KRISTINA MICHELLE ROBERSON DNP, FNP-C
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/02/2007
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    Last Update Date     |    06/26/2026
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Provider Practice Location Address
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    Address Line         |    720 W MAIN ST STE A 
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    City                 |    JAMESTOWN
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    State                |    NC
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    Zip                  |    27282-9500
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    Country              |    US
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    Telephone            |    336-698-3157
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    Fax                  |    336-698-3489
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Provider Business Mailing Address
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    Address Line         |    3980 PREMIER DR STE 110-1018 
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    City                 |    HIGH POINT
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    State                |    NC
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    Zip                  |    27265-8408
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    Country              |    US
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    Telephone            |    336-698-3157
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    Fax                  |    336-698-3489
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    159859
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    License Number State |    NC
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Taxonomy #2
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    5005834
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    License Number State |    NC
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Taxonomy #3
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    Taxonomy Code        |    363LP2300X
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    Taxonomy Name        |    Primary Care Nurse Practitioner
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    License Number       |    5005834
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    License Number State |    NC
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