KATY MICHELLE ROBERTSON NP NPI 1366967408

NPI Information

  • NPI: 1366967408
  • Provider Name: KATY MICHELLE ROBERTSON, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 612 COLLEGE ST
    JACKSONVILLE, NC
    ZIP 28540
  • Phone: (910) 347-2154

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NPI Details

Katy Michelle Robertson, NP is a family nurse practitioner in Jacksonville, NC with 9 years of experience. Katy Michelle Robertson, NP NPI is 1366967408. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

612 COLLEGE ST
JACKSONVILLE, NC
ZIP 28540-311
Phone: (910) 347-2154
Fax: (910) 347-4246

The NPI 1366967408 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/10/2017 and was last updated on 6/28/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily5009766NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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