Individual provider · Type 1 NPI

Andrew Godfrey Robertson, CPNP-PC

Pediatric Nurse Practitioner · Jackson, MS

NPI number 1861148926 Active

Practice location

2500 N State St
Jackson, MS 39216-4500

Specialties and licenses

Taxonomy	Code	License
Registered Nurse	163W00000X	900730 (MS)
Pediatric Nurse Practitioner Primary	363LP0200X	906479 (MS)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1861148926

Andrew Godfrey Robertson, CPNP-PC's National Provider Identifier is 1861148926, issued on Feb 28, 2022. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Jackson, MS. The record was last updated on Jun 3, 2025.