Roberts, Lisa Jo

Roberts, Lisa Jo is an sole proprietor health care provider with primary practice located at 18 Haggerty Lane Suite 103, Staunton VA 24401. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Roberts, Lisa Jo can be contacted via phone (540) 414-8585.

Contact Information

Primary practice address
18 Haggerty Lane Suite 103 Staunton VA 24401
Phone: (540) 414-8585
Fax: (540) 414-8597
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 0024158784 Virginia

Profile Details

NPI number 1164413712
LBN Legal business name Roberts, Lisa Jo
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2005
Last updated Oct 8th, 2014 - about 11 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

Identifiers

StateTypeNumberIssuer
All States NPI 1164413712 NPPES
Virginia MEDICAID 010089832

Popular Providers