Provider Demographics
NPI:1578782819
Name:BUCK, ROSILAND DIXON (FNP, MSN)
Entity Type:Individual
Prefix:MRS
First Name:ROSILAND
Middle Name:DIXON
Last Name:BUCK
Suffix:
Gender:F
Credentials:FNP, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1115 BUTLER FORD RD
Mailing Address - Street 2:
Mailing Address - City:VANCEBORO
Mailing Address - State:NC
Mailing Address - Zip Code:28586-9107
Mailing Address - Country:US
Mailing Address - Phone:252-244-2280
Mailing Address - Fax:252-847-1610
Practice Address - Street 1:2100 STANTONSBURG RD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-2818
Practice Address - Country:US
Practice Address - Phone:252-847-2619
Practice Address - Fax:252-847-4030
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0050-02914363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner