MEDICARE: JENNIFER M ROBERTS LM

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
1	176B00000X	Midwife	MW433	FL

General Provider Information

NPI Number	:	1730418518
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER M ROBERTS LM

Provider Business Mailing Address
First Line	:	7120 OKEECHOBEE BLVD APT 5202
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33411-2466
Country	:	US
Telephone Number	:	561-789-4747
Fax Number	:

Provider Business Practice Location Address
First Line	:	7120 OKEECHOBEE BLVD APT 5202
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33411-2466
Country	:	US
Telephone Number	:	561-789-3747
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2009
Last Update Date	:	05/01/2026

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