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Jason Roberts

Nurse Practitioner Nurse Practitioner - Family Medicine

199 Longview Dr
Rockford , Michigan 49341-1130

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Jason Roberts

Nurse Practitioner Nurse Practitioner - Family Medicine

199 Longview Dr
Rockford , Michigan 49341-1130

(313) 918-9340

Write a Review Save Call

Jason Roberts

Nurse Practitioner Nurse Practitioner - Family Medicine

199 Longview Dr
Rockford , Michigan 49341-1130

(313) 918-9340 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Nurse Practitioner
  • Nurse Practitioner - Family Medicine

Languages spoken

  • English

Location

199 Longview Dr Rockford , Michigan 49341-1130

First Address

  • Jason Roberts
  • 199 Longview Dr
  • Rockford, MI
  • Zip : 49341-1130
  • Phone : (313) 918-9340

Second Address

  • Jason Roberts
  • 199 Longview Dr
  • Rockford, MI
  • Zip : 49341-1130
  • Phone : (313) 918-9340

Reviews

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FAQs


Where did Jason Roberts attend graduate school?

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Where did Jason Roberts do his residency?

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Where did Jason Roberts do his fellowship?

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Is Jason Roberts board certified?

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What type of doctor is Jason Roberts

Nurse Practitioner - Family Medicine

In what state does Jason Roberts practice in?

Michigan

Where is Jason Roberts ’s practice located?

199 Longview Dr , Rockford, Michigan, 49341-1130

What is Jason Roberts ’s gender?

Male

Is Jason Roberts a sole practitioner?

No

Is Jason Roberts accepting new patients?

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What languages does Jason Roberts speak?

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Does Jason Roberts accept insurance?

Yes, Jason Roberts accepts insurance

Does Jason Roberts offers telemedicine?

Jason Roberts has not indicated if he offers telemedicine

What is Jason Roberts ’s professional license number?

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What is Jason Roberts ’s NPI number?

1003269895

Does Jason Roberts have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 363L00000X Nurse Practitioner 4704219864 MI
Y 363LF0000X Nurse Practitioner - Family Medicine 4704219864 MI

National Provider Identifier

NPI 1003269895
Provider Name Jason Roberts
First Address Rockford, MI 49341-1130
Second Address Rockford, MI 49341-1130
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 18/07/2016
Last Update Date 11/02/2019

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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