Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | RN83276 | NC |
NPI | 1235405853 |
---|---|
Provider Name | Ms. Joan Cross Robbins |
First Address | Camp Lejuene, NC 28574 |
Second Address | Camp Lejuene, NC 28574 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2012 |
Last Update Date | 28/03/2012 |