Provider Demographics
NPI:1750410338
Name:ROBERSON, KRISTINA MICHELLE (DNP, FNP-C)
Entity type:Individual
Prefix:
First Name:KRISTINA
Middle Name:MICHELLE
Last Name:ROBERSON
Suffix:
Gender:F
Credentials:DNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3980 PREMIER DR STE 110-1018
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27265-8408
Mailing Address - Country:US
Mailing Address - Phone:336-698-3157
Mailing Address - Fax:336-698-3489
Practice Address - Street 1:4000 OSSI CT
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27265-8822
Practice Address - Country:US
Practice Address - Phone:336-698-3157
Practice Address - Fax:336-698-3489
Is Sole Proprietor?:No
Enumeration Date:2007-03-02
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC159859163W00000X
NC5005834363LF0000X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No163W00000XNursing Service ProvidersRegistered Nurse
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCNC9538BMedicare PIN