Individual
JAMILAH A ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
530 S JACKSON ST, LOUISVILLE, KY 40202-1675
(309) 444-0949
Mailing address
530 S JACKSON ST, LOUISVILLE, KY 40202-1675
(502) 562-3000
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4028536
KY
363LA2200X
Adult Health Nurse Practitioner
4028536
KY
363LG0600X
Gerontology Nurse Practitioner
4028536
KY
363LG0600X
Gerontology Nurse Practitioner
71017250A
IN
Other
Enumeration date
10/01/2024
Last updated
11/26/2025
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