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JENNIFER D. ROBERTS DO LLC NPI 1215255658


NPI Information

NPI: 1215255658
Provider Name: JENNIFER D. ROBERTS DO LLC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
1735 27TH ST STE 206A
PORTSMOUTH, OH
ZIP 45662
Phone: (740) 353-3196
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JENNIFER D. ROBERTS DO LLC is an obstetrics gynecology in Portsmouth, OH. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. JENNIFER D. ROBERTS DO LLC NPI is 1215255658. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1735 27TH ST STE 206A
PORTSMOUTH, OH
ZIP 45662-009
Phone: (740) 353-3196
Fax: (740) 353-1298

The provider's authorized official is Jennifer D Roberts .
The authorized official title is President and has the following contact phone number (740) 353-3196.

The enumeration date for this NPI number is 5/10/2010 and was last updated on 5/25/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363A00000XPhysician AssistantNo
2363L00000XNurse PractitionerNo
3367A00000XAdvanced Practice MidwifeNo
4207V00000XObstetrics & GynecologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13050862MEDICAIDOHIO
27100845410MEDICAIDKENTUCKY
37100118280MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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