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NPI Code Detail

MEDICARE: MISS JANEICE ROBERSON

MEDICARE: MISS JANEICE ROBERSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1164399614
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS JANEICE ROBERSON
Provider Business Mailing Address
First Line : 42885 POTOMAC
Second Line :
City : NOVI
State : MI
Zip : 48375-1771
Country : US
Telephone Number : 734-447-4131
Fax Number :
Provider Business Practice Location Address
First Line : 2146 MOELLER AVE
Second Line :
City : YPSILANTI
State : MI
Zip : 48198-9237
Country : US
Telephone Number : 734-447-4131
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2025
Last Update Date : 10/20/2025

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Directions to “ MISS JANEICE ROBERSON ” Practice Location

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