Individual
JACOB S ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FMHNPI
Contact information
Practice address
230 N 1680 E, SUITE H1, SAINT GEORGE, UT 84790-2579
(435) 652-1897
(435) 652-5909
Mailing address
230 N 1680 E, STE H1, SAINT GEORGE, UT 84790-2579
(435) 652-1897
(435) 652-5909
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
6874787-4408
UT
Other
Enumeration date
06/15/2011
Last updated
09/02/2015
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