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Mr. Jerrell De'andre Roberts

Rehabilitation Practitioner

2704 Prospector Mine Ave
North Las Vegas , Nevada 89031-1188

Write a Review Save Call QR Code

(702) 647-5300

Image

Mr. Jerrell De'andre Roberts

Rehabilitation Practitioner

2704 Prospector Mine Ave
North Las Vegas , Nevada 89031-1188

(702) 647-5300

Write a Review Save Call

Mr. Jerrell De'andre Roberts

Rehabilitation Practitioner

2704 Prospector Mine Ave
North Las Vegas , Nevada 89031-1188

(702) 647-5300 Call

Write a Review Save
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Location
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Mr. Jerrell De'andre Roberts
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About

Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Rehabilitation Practitioner

Languages spoken

  • English

Location

2704 Prospector Mine Ave North Las Vegas , Nevada 89031-1188
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First Address

  • Mr. Jerrell De'andre Roberts
  • 2704 Prospector Mine Ave
  • North Las Vegas, NV
  • Zip : 89031-1188
  • Phone : (702) 647-5300

Second Address

  • Mr. Jerrell De'andre Roberts
  • 2704 Prospector Mine Ave
  • North Las Vegas, NV
  • Zip : 89031-1188
  • Phone : (702) 647-5300

Reviews

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FAQs

Where did Mr. Jerrell De'andre Roberts attend graduate school?

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Where did Mr. Jerrell De'andre Roberts do his residency?

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Where did Mr. Jerrell De'andre Roberts do his fellowship?

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Is Mr. Jerrell De'andre Roberts board certified?

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What type of doctor is Mr. Jerrell De'andre Roberts

Rehabilitation Practitioner

In what state does Mr. Jerrell De'andre Roberts practice in?

Nevada

Where is Mr. Jerrell De'andre Roberts ’s practice located?

2704 Prospector Mine Ave , North Las Vegas, Nevada, 89031-1188

What is Mr. Jerrell De'andre Roberts ’s gender?

Male

Is Mr. Jerrell De'andre Roberts a sole practitioner?

No

Is Mr. Jerrell De'andre Roberts accepting new patients?

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What languages does Mr. Jerrell De'andre Roberts speak?

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Does Mr. Jerrell De'andre Roberts accept insurance?

Yes, Mr. Jerrell De'andre Roberts accepts insurance

Does Mr. Jerrell De'andre Roberts offers telemedicine?

Mr. Jerrell De'andre Roberts has not indicated if he offers telemedicine

What is Mr. Jerrell De'andre Roberts ’s professional license number?

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What is Mr. Jerrell De'andre Roberts ’s NPI number?

1003195488

Does Mr. Jerrell De'andre Roberts have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 225400000X Rehabilitation Practitioner NV

National Provider Identifier

NPI 1003195488
Provider Name Mr. Jerrell De'andre Roberts
First Address North Las Vegas, NV 89031-1188
Second Address North Las Vegas, NV 89031-1188
Gender M
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 16/08/2011
Last Update Date 16/09/2011

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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