Individual
MR. JESSE DAVID ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
4101 TECHNOLOGY AVE, NEW ALBANY, IN 47150-8548
(812) 542-1901
(812) 542-1904
Mailing address
4101 TECHNOLOGY AVE, NEW ALBANY, IN 47150-8548
(812) 542-1901
(812) 542-1904
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3016373
KY
363L00000X
Nurse Practitioner
Primary
71011655A
IN
Other
Enumeration date
07/20/2021
Last updated
01/03/2022
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