Individual provider · Type 1 NPI
Juanita Marie Roberts, FNP-BC
Family Nurse Practitioner · Mishawaka, IN
NPI number
1073237202
Active
Practice location
1625 E Jefferson Blvd
Mishawaka, IN 46545-7103
Mailing address
406 S Washington St
Pierceton, IN 46562-9341
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 71013131A (IN) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1073237202
Juanita Marie Roberts, FNP-BC's National Provider Identifier is 1073237202, issued on Sep 30, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Mishawaka, IN. The record was last updated on Sep 30, 2022.