Individual
MS. JENNIFER RAE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
4010 JERRY MURPHY RD, PUEBLO, CO 81001-1045
(719) 546-2229
(719) 583-9069
Mailing address
PO BOX 560825, DENVER, CO 80256-0825
(719) 595-7580
(719) 545-0176
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
CNM170007
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
27020258
—
CO
Enumeration date
01/25/2011
Last updated
09/07/2016
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