Individual
JACQUELYN ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-C
Contact information
Practice address
539 EGG HARBOR RD, SEWELL, NJ 08080-2371
(856) 589-0300
(856) 589-1753
Mailing address
539 EGG HARBOR RD, SEWELL, NJ 08080-2371
(856) 589-0300
(856) 589-1753
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
26NC09229000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0037567
—
NJ
Enumeration date
04/05/2006
Last updated
02/29/2012
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