Jason William Roberts, NP
NPI #1114571130 in Newton, Mississippi
Provider Information
- NPI Number
- 1114571130
- Entity Type
- Individual
- Name
- Jason William Roberts, NP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- NP
- Enumeration Date
- Jul 29, 2019
- Last Updated
- Sep 15, 2019
Practice Location
- Address
- 9427 EASTSIDE DRIVE EXT STE A
- City
- Newton
- State
- Mississippi
- ZIP Code
- 39345-8063
- Phone
- (601) 683-0330
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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