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NPI Code Detail

MEDICARE: MRS. JENNI ROBERTS WHNP-BC, CNM

MEDICARE:  MRS. JENNI  ROBERTS  WHNP-BC, CNM
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
1363LW0102XWomen's Health Nurse Practitioner2022009716MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1780080937
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JENNI ROBERTS WHNP-BC, CNM
Provider Business Mailing Address
First Line : 180 S KENTUCKY AVE
Second Line :
City : WEST PLAINS
State : MO
Zip : 65775-2082
Country : US
Telephone Number : 417-256-7078
Fax Number : 417-256-1179
Provider Business Practice Location Address
First Line : 180 S KENTUCKY AVE
Second Line :
City : WEST PLAINS
State : MO
Zip : 65775-2082
Country : US
Telephone Number : 417-256-7078
Fax Number : 417-256-1179
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2014
Last Update Date : 10/10/2024

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Directions to “ MRS. JENNI ROBERTS WHNP-BC, CNM” Practice Location

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