Individual
MS. JO ELLEN ROBERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2100 BULL ST, COLUMBIA, SC 29201
(251) 415-1496
(251) 415-8601
Mailing address
2100 BULL ST., COLUMBIA, SC 29201
(251) 415-1496
(251) 415-8601
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
106404
SC
163WA2000X
Administrator Registered Nurse
201400106RN
OR
367A00000X
Advanced Practice Midwife
1-058198
AL
Other
Enumeration date
06/23/2010
Last updated
01/05/2022
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