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

Theodora Desronvil, FNP-BC

Individual provider Registered Nurse · NPI 1902394067

Theodora Desronvil, FNP-BC is a Nurse Practitioner in Rocky Mount, North Carolina. Qualified in 2017, 9 years ago. Practices with Drx High Point PLLC, a 45-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
9
Licensed in
NC
In the registry since
2018
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

300 N Grace St
Rocky Mount, NC 27804-5345
Phone: (252) 210-9856
Fax: (252) 822-5065
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5010560 (NC)
Registered Nurse Taxonomy 163W00000X · Licence 303827 (NC)

Record details

NPI number1902394067
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorYes
NPI enumeratedApril 24, 2018
Last updated in NPPESJune 10, 2020
Certification dateJune 10, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Drx High Point Pllc — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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