NPI 1174678189

Jackie Roberts, LPN

Practitioner Licensed Practical Nurse Cheyenne, WY

Practice location

Address: 300 E Prosser Rd Lot 11, Cheyenne, WY 82007-3128
Phone: (307) 635-3972

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 5526 (WY)

Other Licensed Practical Nurse providers in Wyoming →

Registry record

NPI: 1174678189
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Jan 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.