Individual
JESSICA V REYES-ROBERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP FNP-BC
Contact information
Practice address
101 ELLIOTT AVE W STE 500, SEATTLE, WA 98119-4292
(425) 640-7009
Mailing address
11720 W HEATHER DR, MILWAUKEE, WI 53224-2258
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
9812-33
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
61143777
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
9812
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972142263
—
WI
Enumeration date
01/03/2020
Last updated
05/07/2025
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