# JEAN L. ROBERTS, M.D., FAMILY MEDICINE & OBSTETRIC CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154683472
- **Authorized official:** DR. JEAN LANGLEY ROBERTS M.D. (MEMBER/M.D.)
- **Authorized official phone:** (765) 760-2840

## Contact information

- **Practice address:** 804 W UNIVERSITY AVE, MUNCIE, IN 47303-3863
- **Practice address phone:** (765) 760-2840
- **Mailing address:** 804 W UNIVERSITY AVE, MUNCIE, IN 47303-3863

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 01067670A | IN | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | 01067670A | IN | — |

## Other

- **Enumeration date:** 06/12/2012
- **Last updated:** 06/12/2012