Individual
JARED Y ROBERTSON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
149 DRINKWATER RD, BAY ST LOUIS, MS 39520-1658
(228) 467-8600
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
10597
TN
367500000X
Certified Registered Nurse Anesthetist
144482
TX
367500000X
Certified Registered Nurse Anesthetist
24167318
VA
367500000X
Certified Registered Nurse Anesthetist
3625
SC
367500000X
Certified Registered Nurse Anesthetist
4858A
KY
367500000X
Certified Registered Nurse Anesthetist
5201
LA
367500000X
Certified Registered Nurse Anesthetist
71550
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
901491
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00013859
NHC CARE ADMINISTRATORS
—
05
—
010103894
—
VA
05
—
100045319
—
TN
01
—
146158
ANTHEM BCBS
—
05
—
3632282
—
TN
01
—
4081487
BLUE SHIELD OF TN
—
05
—
74008541
—
KY
01
—
TN0100
JOHN DEERE
—
Enumeration date
09/21/2005
Last updated
11/10/2022
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