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Individual

JEFFREY WAYNE ROBERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
100 ALEWINE ST, BOAZ, AL 35956-3021
(256) 490-1003
Mailing address
100 ALEWINE ST, BOAZ, AL 35956-3021
(256) 490-1003

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1-124441
AL

Other

Enumeration date
07/10/2024
Last updated
07/10/2024
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