Individual
DETRIS LASHALL ROBERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN-NP289668
GA
363LF0000X
Family Nurse Practitioner
RN289668
GA
Other
Enumeration date
07/29/2025
Last updated
08/19/2026
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