Individual
JADE ALEXANDRA ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2507A OLD BRANDON RD, PEARL, MS 39208-4604
(601) 345-2124
Mailing address
603 MCDONALD DR APT E, CLINTON, MS 39056-5388
(601) 517-1531
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
903844
MS
Other
Enumeration date
01/19/2021
Last updated
04/03/2023
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