Whalio Doctors

NPI 1245666809

Jenna Christine Roberts, MHSPAC

Practitioner Physician Assistant Crosby, MN

Practice location

Address
318 E Main St, Crosby, MN 56441-1645
Phone
(218) 546-2502
Mailing address
5863 Nashway Rd, Nisswa, MN 56468-2358

Registered specialties

Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 1973 (MN)

Registry record

NPI
1245666809
Entity type
Individual
Sex (as registered)
Female
NPI issued
16 Sep 2013
Record last updated
16 Sep 2013

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.