Individual
DR. JESSIELA VENIS ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
612 S 12TH ST, FORT SMITH, AR 72901-4702
(479) 785-2431
(479) 785-0732
Mailing address
410 W BRINKLEY LOOP, APT. 2, MARION, AR 72364-5033
(914) 325-2103
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E-9138
AR
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
E-9138
AR
Other
Enumeration date
03/25/2013
Last updated
04/24/2024
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