Individual
JASON ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10669 WALKERS FERRY RD, CHARLOTTE, NC 28278-9722
(980) 613-2337
Mailing address
10669 WALKERS FERRY RD, CHARLOTTE, NC 28278-9722
(980) 613-2337
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
242351
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
242351
NCBON
NC
Enumeration date
04/17/2014
Last updated
04/17/2014
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