Individual provider · Type 1 NPI
Jeannie Charmaine Roberts, R.N.
Pediatric Registered Nurse · Alexander, AR
NPI number
1114219003
Active
Practice location
1010 Silver Leaf Dr
Alexander, AR 72002-7826
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Registered Nurse Primary | 163WP0200X | RA49280 (AR) |
Pediatric Registered Nurse: Definition to come...
About NPI 1114219003
Jeannie Charmaine Roberts, R.N.'s National Provider Identifier is 1114219003, issued on May 10, 2011. The primary taxonomy on file is Pediatric Registered Nurse (163WP0200X), and the practice location is in Alexander, AR. The record was last updated on May 10, 2011.