Individual
FAYE ANN ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
326 MILITARY RD, COLUMBUS, MS 39701-4670
(662) 251-5664
Mailing address
326 MILITARY RD, COLUMBUS, MS 39701-4670
(662) 251-5664
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
901827
MS
405300000X
Prevention Professional
901827
MS
Other
Enumeration date
01/02/2017
Last updated
06/06/2024
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