| Mrs Justine Koerner Tye, CPNP | |
|
1350 S Kings Dr, Charlotte, NC 28207-2134 | |
| (704) 446-1422 | |
| (704) 446-1582 |
| Full Name | Mrs Justine Koerner Tye |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 1350 S Kings Dr, Charlotte, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366724098 | NPI | - | NPPES |
| 1366724098 | Medicaid | NC | |
| NP2580 | Medicaid | SC | |
| 1558308080 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | 5005317 (North Carolina) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | 160512 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Justine Koerner Tye, CPNP Po Box 601372, Charlotte, NC 28260-1372 Ph: (704) 446-1422 | Mrs Justine Koerner Tye, CPNP 1350 S Kings Dr, Charlotte, NC 28207-2134 Ph: (704) 446-1422 |
Melissa E Jesse, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2236 Shenandoah Ave, Charlotte, NC 28205 Phone: 704-999-9857 | |
Mrs. Adrienne Dunlap Lane, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 Hawthorne Ln, Charlotte, NC 28204 Phone: 704-384-4109 | |
Melissa Renee Flood, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1225 Harding Pl, Ste 5100, Charlotte, NC 28204 Phone: 704-355-8850 | |
Anna Philbeck Burgess, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4135 Southstream Blvd, Charlotte, NC 28217 Phone: 704-631-1200 | |
Stephanie Dawn Ferlic, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6900 Farmingdale Dr, Charlotte, NC 28212 Phone: 704-910-5810 | |
Brooke Alyssa Davis, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2711 Randolph Rd Ste 400, Charlotte, NC 28207 Phone: 704-342-1900 Fax: 704-377-0353 | |
Angela Devincent Booth, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1001 Blythe Blvd, Medical Center Plaza Suite 200, Charlotte, NC 28203 Phone: 704-381-8840 |