Individual
JUANITA MARIE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1625 E JEFFERSON BLVD, MISHAWAKA, IN 46545-7103
(574) 255-1400
Mailing address
406 S WASHINGTON ST, PIERCETON, IN 46562-9341
(574) 253-5994
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71013131A
IN
Other
Enumeration date
09/30/2022
Last updated
09/30/2022
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