# JESSICA ELENE ROBERTS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1265729396
- **Gender:** F
- **Credential:** FNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 23523 | SC | Yes |
| 363LF0000X | Family Nurse Practitioner | RN178157 | GA | — |

## Other

- **Enumeration date:** 07/10/2011
- **Last updated:** 08/12/2021