Individual provider · Type 1 NPI

Justin T. Roach, APRN, NP-C

Psychiatric/Mental Health Nurse Practitioner · Emporia, KS

NPI number 1851950364 Active

Practice location

1301 W 12th Ave
Emporia, KS 66801-2587

Fax (620) 339-8068

Mailing address

1201 W 12th Ave
Emporia, KS 66801-2504

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X53-78756-082 (KS)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X78756 (KS)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1851950364

Justin T. Roach, APRN, NP-C's National Provider Identifier is 1851950364, issued on Jun 8, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Emporia, KS. The record was last updated on Sep 28, 2026.