Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Justine Koerner Tye, CPNP

Individual provider Pediatric Nurse Practitioner · NPI 1366724098

Mrs. Justine Koerner Tye, CPNP is a Pediatric Nurse Practitioner in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2011.

Licensed in
NC
In the registry since
2011
Specialties on file
2
What do these letters mean?
CPNP — Certified Pediatric Nurse Practitioner
A nurse practitioner certified in paediatrics.

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Practice location Address checks out

1350 S Kings Dr
Charlotte, NC 28207-2134
Phone: (704) 446-1422
Fax: (704) 446-1582
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 160512 (NC)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence 5005317 (NC)

Record details

NPI number1366724098
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP
Sole proprietorNo
NPI enumeratedSeptember 20, 2011
Last updated in NPPESJanuary 3, 2014

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