JACKIE ROBERTS, LPN

Licensed Practical Nurse

Active Individual
NPI: 1174678189

Practice Address

300 E PROSSER RD LOT 11
Cheyenne, WY 82007

Phone: (307) 635-3972

Specialties

Specialty Code Primary License
Licensed Practical Nurse 164W00000X Yes 5526 (WY)

Frequently Asked Questions

NPI 1174678189 is the National Provider Identifier for JACKIE ROBERTS, LPN, a Licensed Practical Nurse provider located in Cheyenne, WY. This NPI was enumerated on January 23, 2007.
JACKIE ROBERTS, LPN practices at 300 E PROSSER RD LOT 11, Cheyenne, WY 82007.

Quick Facts

NPI
1174678189
Type
Individual
Enumerated
Jan 23, 2007
Last Updated
Jul 8, 2007

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