Individual
MRS. JEANNIE CHARMAINE ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1010 SILVER LEAF DR, ALEXANDER, AR 72002-7826
(501) 909-9027
Mailing address
1010 SILVER LEAF DR, ALEXANDER, AR 72002-7826
(501) 909-9027
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
RA49280
AR
Other
Enumeration date
05/10/2011
Last updated
05/10/2011
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