Individual provider · Type 1 NPI
Justin Roberts, NP-C
Gerontology Nurse Practitioner · Muskogee, OK
NPI number
1962953158
Active
Practice location
333 S 38th St Ste E
Muskogee, OK 74401-4937
Fax (918) 910-5395
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 84805 (OK) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 84805 (OK) |
Gerontology Nurse Practitioner: Definition to come...
2 other providers at this address
Other gerontology nurse practitioner providers in Muskogee
About NPI 1962953158
Justin Roberts, NP-C's National Provider Identifier is 1962953158, issued on Oct 22, 2016. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Muskogee, OK. The record was last updated on Oct 22, 2016.