Individual
DR. JANE MELINDA ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1009 HILLPOINT BLVD., SUFFOLK, VA 23434
(757) 668-2250
(757) 668-2255
Mailing address
1009 HILLPOINT BLVD., SUFFOLK, VA 23434
(757) 668-2250
(757) 668-2255
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
101053995
VA
208000000X
Pediatrics Physician
101234705
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006706355
—
VA
01
—
228114
ANTHEM
VA
01
—
35241
OPTIMA
VA
01
—
5416130
AETNA
VA
01
—
541778786
UNITED HEALTH CARE
VA
01
—
541778786023
TRICARE
VA
05
—
6706355
—
VA
01
—
878411
MAMSI/MDIPA
VA
05
—
890639N
—
NC
Enumeration date
07/04/2006
Last updated
05/04/2023
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