Individual
JASMINE ANDREA ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 E ASH ST STE 201, GOLDSBORO, NC 27530-4097
(919) 583-9329
Mailing address
107 KENISON WAY, PIKEVILLE, NC 27863-8124
(919) 221-1368
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
83995
NC
Other
Enumeration date
08/12/2019
Last updated
08/12/2019
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