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Individual

JESSICA ELENE ROBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
201 HOSPITAL RD, CANTON, GA 30114-2408
(770) 720-5190
Mailing address
9820 N KINGS HWY, MYRTLE BEACH, SC 29572-4013
(843) 497-2273

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
23523
SC
363LF0000X
Family Nurse Practitioner
RN178157
GA

Other

Enumeration date
07/10/2011
Last updated
08/12/2021
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