person
Ms. Mary Jacqueline Roberts, APRN,FNP
Family Nurse Practitioner in Scottsburg, Indiana
NPI 1609150598

Mary Jacqueline Roberts is a Family Nurse Practitioner based in Chicago, IN and is specialized in Family. Mary Jacqueline Roberts practices in Scottsburg, IN and has the professional credentials of APRN,FNP. The NPI Number for Mary Jacqueline Roberts is 1609150598 and holds a License No. 3007173 (Indiana).

The current practice location address for Mary Jacqueline Roberts is 1465 N Gardner St, Scottsburg, IN and can be reached out via phone at 812-752-0001 and via fax at 812-752-0010.

Location: 1465 N Gardner St, Scottsburg, IN, 60677-6351
person
Provider Profile Details
NPI Number
1609150598
Provider Name
Mary Jacqueline Roberts
Credential
APRN,FNP
Provider Entity Type
Individual
Gender
Female
Address
1465 N Gardner St, Scottsburg, IN, 60677-6351
Phone Number
812-752-0001
Fax Number
812-752-0010
Provider Enumeration Date
10/10/2011
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201050260 05 IN
7100186690 05 KY
71004757A 01 IN STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
1465 N Gardner St
City
State
Zip
47170-7751
Phone Number
812-752-0001
Fax Number
812-752-0010
person
Provider Business Mailing Address Details
Address
1465 N Gardner St
City
State
Zip
47170-7751
Phone Number
812-752-0001
Fax Number
812-752-0010
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
3007173 (Kentucky)
Definition
Definition to come...
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