Individual provider · Type 1 NPI

Timothy Jireh Roberts, LPN

Licensed Practical Nurse · Henrietta, NY

NPI number 1992357073 Active

Practice location

31 High Manor Dr Apt 2
Henrietta, NY 14467-9114

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X311354 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1992357073

Timothy Jireh Roberts, LPN's National Provider Identifier is 1992357073, issued on Jul 9, 2019. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Henrietta, NY. The record was last updated on Jul 9, 2019.