Individual
JUSTIN ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
333 S 38TH ST STE E, MUSKOGEE, OK 74401-4937
(918) 910-5391
(918) 910-5395
Mailing address
333 S 38TH ST STE E, MUSKOGEE, OK 74401-4937
(918) 910-5391
(918) 910-5395
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
84805
OK
363LG0600X
Gerontology Nurse Practitioner
Primary
84805
OK
Other
Enumeration date
10/22/2016
Last updated
10/22/2016
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