Individual
SHELLY JEAN ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-C
Contact information
Practice address
4778 S SCATTERFIELD RD, ANDERSON, IN 46013-2908
(765) 646-6331
Mailing address
10330 N MERIDIAN ST # 300, INDIANAPOLIS, IN 46290-1024
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71006892A
IN
363LG0600X
Gerontology Nurse Practitioner
71006892A
IN
Other
Enumeration date
12/15/2016
Last updated
02/20/2017
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