Provider Demographics
NPI:1104183110
Name:RPJ CONNECTIONS, PLLC
Entity Type:Organization
Organization Name:RPJ CONNECTIONS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER AND MANAGING DIRECTOR, APN
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:F
Authorized Official - Last Name:LAKE
Authorized Official - Suffix:
Authorized Official - Credentials:DNP,APRN,FNP-C
Authorized Official - Phone:336-471-6109
Mailing Address - Street 1:6447 MUDDY CREEK RD
Mailing Address - Street 2:
Mailing Address - City:ARCHDALE
Mailing Address - State:NC
Mailing Address - Zip Code:27263-3925
Mailing Address - Country:US
Mailing Address - Phone:336-471-6109
Mailing Address - Fax:336-889-0752
Practice Address - Street 1:6447 MUDDY CREEK RD
Practice Address - Street 2:
Practice Address - City:ARCHDALE
Practice Address - State:NC
Practice Address - Zip Code:27263-3925
Practice Address - Country:US
Practice Address - Phone:336-471-6109
Practice Address - Fax:336-889-0752
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-13
Last Update Date:2012-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC201480363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty