Individual
DR. JARVIS DE'KOVAN ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP-FNP BC
Contact information
Practice address
500 IVERSON WAY, CHARLOTTE, NC 28203-5635
(803) 917-7736
Mailing address
213 W 5TH AVE, GASTONIA, NC 28052-4084
(704) 830-6021
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5020480
NC
Other
Enumeration date
07/11/2024
Last updated
07/23/2024
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