Individual provider · Type 1 NPI

Tyrone G. Roberson Sr., AGPCNP-BC

Nurse Practitioner · Columbia, SC

NPI number 1134428923 Active

Practice location

6439 Garners Ferry
Columbia, SC 29209

Specialties and licenses

TaxonomyCodeLicense
Emergency Registered Nurse 163WE0003X69630 (SC)
Licensed Practical Nurse 164W00000XPR27111 (SC)
Nurse Practitioner Primary 363L00000X19344 (SC)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1134428923

Tyrone G. Roberson Sr., AGPCNP-BC's National Provider Identifier is 1134428923, issued on Mar 20, 2011. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Columbia, SC. The record was last updated on Sep 1, 2016.