Individual provider · Type 1 NPI
Raeleen Marie Roberts, NP
Adult Health Nurse Practitioner · Memphis, TN
NPI number
1205947942
Active
Practice location
1030 Jefferson Ave
Memphis, TN 38104-2127
Mailing address
9339 Wheatland Dr
Germantown, TN 38139-3567
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 8379 (TN) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1205947942
Raeleen Marie Roberts, NP's National Provider Identifier is 1205947942, issued on Aug 31, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Memphis, TN. The record was last updated on Jul 8, 2007.