Amy M Roberts, LPN
Licensed Practical Nurse in Cleveland, TN. Individual provider (NPI-1).
NPI number1033744503
StatusActive
Last updated in NPPESMar 5, 2020
Details
- NPI
- 1033744503
- Entity type
- Individual (NPI-1)
- Name
- Ms. Amy M Roberts
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 5, 2020
- Certification date
- Mar 5, 2020
- Last updated
- Mar 5, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 54474 | TN | Yes |
Practice location
201 Dooley St SeCleveland, TN 37311-6220
Phone 423-728-7020
Mailing address
201 Dooley St SeCleveland, TN 37311-6220
Phone 423-728-7020
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