Individual provider · Type 1 NPI

Jackie Roberts, LPN

Licensed Practical Nurse · Cheyenne, WY

NPI number 1174678189 Active

Practice location

300 E Prosser Rd Lot 11
Cheyenne, WY 82007-3128

Call (307) 635-3972 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X5526 (WY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1174678189

Jackie Roberts, LPN's National Provider Identifier is 1174678189, issued on Jan 23, 2007. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Cheyenne, WY. The record was last updated on Jul 8, 2007.