Individual
JENNIFER LEE ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
690 DALLAS HWY STE 103, VILLA RICA, GA 30180-1265
(770) 214-2800
(770) 214-2803
Mailing address
157 CLINIC AVE STE 201, CARROLLTON, GA 30117-4454
(770) 214-2800
(770) 214-2803
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN215576
GA
Other
Enumeration date
07/22/2020
Last updated
08/09/2024
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