Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JUSTINE KOERNER TYE, CPNP
ActiveMRS. JUSTINE KOERNER TYE, CPNP is a Pediatric Nurse Practitioner healthcare provider located in CHARLOTTE, North Carolina. NPI 1366724098 is currently active in the NPPES registry. Verify at CMS.
Pediatric Nurse Practitioner · CHARLOTTE, NC
Registration Details
- NPI Number
- 1366724098
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 20, 2011 (14.914451210354 yrs)
- Last Updated
- Jan 3, 2014
- Licenses
-
5005317 (NC)160512 (NC)
Practice Information
- Address
-
1350 S KINGS DRCHARLOTTE, NC, 282072134Browse NC providers · Browse ZIP 28207
- Phone
- 7044461422
- Fax
- 7044461582
- Primary Specialty
-
Pediatric Nurse Practitioner
363LP0200X
- Additional Specialty
- Pediatric Nurse Practitioner
Other Pediatric Nurse Practitioner Providers in CHARLOTTE, NC
| Name | Credential | NPI |
|---|---|---|
| JAN RAPISARDO | PNP | 1063408664 |
| JUDITH H. GRUBBS | PNP | 1194787655 |
| TERRI J FORSYTH | NP | 1356382279 |
| MARYBETH HAYNES | NP | 1285658054 |
| MARK BENTON MOORE | ARNP | 1205948981 |
| DIANE E KRAYNAK | N.P. | 1467556886 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.