Provider Demographics
NPI:1295055903
Name:ROBARGE, JOYCE PHYLLIS (CPNP)
Entity type:Individual
Prefix:MS
First Name:JOYCE
Middle Name:PHYLLIS
Last Name:ROBARGE
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:5709 ROUNDTABLE RD
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27407-8043
Mailing Address - Country:US
Mailing Address - Phone:419-377-7493
Mailing Address - Fax:336-288-6744
Practice Address - Street 1:2000 PISGAH CHURCH RD
Practice Address - Street 2:SUITE 100
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27455-3303
Practice Address - Country:US
Practice Address - Phone:336-288-6165
Practice Address - Fax:336-288-6744
Is Sole Proprietor?:No
Enumeration Date:2010-06-03
Last Update Date:2010-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC300351363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
1080492OtherCERTIFIED NURSE LIFE CARE PLANNER(NATIONAL)
77627OtherNATIONAL BOARD OF PEDIATRIC NURSE PRACTITIONERS