Individual
MRS. EVELYN ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-7100
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-7100
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
860358
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07406587
—
MS
Enumeration date
04/01/2014
Last updated
09/19/2025
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