Individual provider · Type 1 NPI
Jo Ellen Roberson, RN
Administrator Registered Nurse · Columbia, SC
NPI number
1427369685
Active
Practice location
2100 Bull St
Columbia, SC 29201
Fax (251) 415-8601
Mailing address
2100 Bull St.
Columbia, SC 29201
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Advanced Practice Midwife | 367A00000X | 1-058198 (AL) |
| Administrator Registered Nurse Primary | 163WA2000X | 106404 (SC) |
| Administrator Registered Nurse | 163WA2000X | 201400106RN (OR) |
Administrator Registered Nurse: Definition to come...
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About NPI 1427369685
Jo Ellen Roberson, RN's National Provider Identifier is 1427369685, issued on Jun 23, 2010. The primary taxonomy on file is Administrator Registered Nurse (163WA2000X), and the practice location is in Columbia, SC. The record was last updated on Nov 1, 2026.