Provider Demographics
NPI:1184009797
Name:ROBSON, JAMES PAUL JR (NP)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:PAUL
Last Name:ROBSON
Suffix:JR
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 60447
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-0447
Mailing Address - Country:US
Mailing Address - Phone:844-266-8268
Mailing Address - Fax:
Practice Address - Street 1:1480 WESLEY CHAPEL RD
Practice Address - Street 2:
Practice Address - City:INDIAN TRAIL
Practice Address - State:NC
Practice Address - Zip Code:28079-5244
Practice Address - Country:US
Practice Address - Phone:704-316-3616
Practice Address - Fax:704-316-1199
Is Sole Proprietor?:No
Enumeration Date:2015-07-24
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5007898363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCNCP388E679OtherMEDICARE NUMBER (PALMETTO GBA)