MEDICARE: VALERIE ROBERTS PMHNP

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	2025019660	FL

General Provider Information

NPI Number	:	1750171351
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VALERIE ROBERTS PMHNP

Provider Business Mailing Address
First Line	:	303 ENTERPRISE DR
Second Line	:
City	:	ALBANY
State	:	GA
Zip	:	31705-2505
Country	:	US
Telephone Number	:	904-994-4232
Fax Number	:

Provider Business Practice Location Address
First Line	:	303 ENTERPRISE DR
Second Line	:
City	:	ALBANY
State	:	GA
Zip	:	31705-2505
Country	:	US
Telephone Number	:	904-994-4232
Fax Number	:

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

Provider Enumeration Date	:	05/08/2025
Last Update Date	:	05/08/2025

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