Roberts, Jackie

Roberts, Jackie is an individual health care provider with primary practice located at 300 E Prosser Rd Lot 11 , Cheyenne WY 82007-3128. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Roberts, Jackie can be contacted via phone (307) 635-3972.

Contact Information

Primary practice address
300 E Prosser Rd Lot 11 Cheyenne WY 82007-3128
Phone: (307) 635-3972
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 5526 Wyoming

Profile Details

NPI number 1174678189
LBN Legal business name Roberts, Jackie
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers