Roberts, Jennifer Rae

Roberts, Jennifer Rae is an individual health care provider with primary practice located at 4010 Jerry Murphy Rd , Pueblo CO 81001-1045. 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, Jennifer Rae can be contacted via phone (719) 546-2229.

Contact Information

Primary practice address
4010 Jerry Murphy Rd Pueblo CO 81001-1045
Phone: (719) 546-2229
Fax: (719) 583-9069
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X CNM170007 Colorado

Profile Details

NPI number 1710282561
LBN Legal business name Roberts, Jennifer Rae
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2011
Last updated Sep 7th, 2016 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710282561 NPPES
Colorado MEDICAID 27020258

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