Jo Beth Roberts
Nurse Practitioner - Pediatrics
777 Hemlock St
Macon
, Georgia 31201-2102
Jo Beth Roberts
Nurse Practitioner - Pediatrics
777 Hemlock St
Macon
, Georgia 31201-2102
(478) 633-5384
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Jo Beth Roberts
- 598 3rd St
- Macon, GA
- Zip : 31201-3357
- Fax : (478) 633-5384
- Phone : (478) 633-6706
Second Address
- Jo Beth Roberts
- 777 Hemlock St
- Macon, GA
- Zip : 31201-2102
- Fax : (478) 633-5384
- Phone : (478) 633-6706
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | RN113509 | GA |
National Provider Identifier
| NPI | 1003963885 |
|---|---|
| Provider Name | Jo Beth Roberts |
| First Address | Macon, GA 31201-3357 |
| Second Address | Macon, GA 31201-2102 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/01/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
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?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.