Individual
KATHERINE JEMMA ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
900 METROPOLITAN AVE, CHARLOTTE, NC 28204-3177
(704) 401-9457
Mailing address
13206 OLD CEDAR LN, CHARLOTTE, NC 28215-5037
(704) 401-9457
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5015819
NC
Other
Enumeration date
03/07/2022
Last updated
03/07/2022
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