Individual provider · Type 1 NPI
Juanita Carolyn Roberts, MSN, APRN, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Shreveport, LA
NPI number
1104471382
Active
Practice location
8707 Business Park Dr
Shreveport, LA 71105-5612
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1142633 (TX) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 207709 (LA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 61359549 (WA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1104471382
Juanita Carolyn Roberts, MSN, APRN, PMHNP-BC's National Provider Identifier is 1104471382, issued on Aug 5, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Shreveport, LA. The record was last updated on Nov 4, 2025.