Individual provider · Type 1 NPI
Jacob Roberts
Family Nurse Practitioner · Coweta, OK
NPI number
1023993094
Active
Practice location
27427 E 109th St S
Coweta, OK 74429-3442
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 225438 (OK) |
Family Nurse Practitioner: Definition to come...
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About NPI 1023993094
Jacob Roberts's National Provider Identifier is 1023993094, issued on Aug 8, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Coweta, OK. The record was last updated on Dec 11, 2025.