Individual
JENNIFER K ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4605 MACCORKLE AVE SW, SOUTH CHARLESTON, WV 25309-1398
(304) 766-3600
Mailing address
PO BOX 337, WILKINSON, WV 25653-0337
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
61930
WV
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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