Provider Demographics
NPI:1235711250
Name:ROBERSON, LINDSEY PACKARD (MSN, APRN, FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:LINDSEY
Middle Name:PACKARD
Last Name:ROBERSON
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3048 FERNLEAF DR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27858-8193
Mailing Address - Country:US
Mailing Address - Phone:252-814-6020
Mailing Address - Fax:
Practice Address - Street 1:3048 FERNLEAF DR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858-8193
Practice Address - Country:US
Practice Address - Phone:252-814-6020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-28
Last Update Date:2021-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCROBE-VES5X363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily