Individual
JESSICA R. ROBERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
205 HIRST RD, SUITE 302, PURCELLVILLE, VA 20132-6198
(540) 338-7065
(540) 338-9482
Mailing address
PO BOX 17334, BALTIMORE, MD 21297-1334
(703) 443-6717
(703) 443-8643
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101249906
VA
208000000X
Pediatrics Physician
ME101838
FL
2080P0207X
Pediatric Hematology & Oncology Physician
ME101838
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891954921
—
VA
Enumeration date
06/04/2008
Last updated
07/24/2012
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