Courtney Michelle Roberts, FNP-C
Nurse Practitioner, Family in Independence, MO. Individual provider (NPI-1).
NPI number1235891789
StatusActive
Last updated in NPPESMay 6, 2024
Details
- NPI
- 1235891789
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Courtney Michelle Roberts
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 12, 2021
- Certification date
- May 6, 2024
- Last updated
- May 6, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 2021037330 | MO | Yes |
| 363LF0000X | Nurse Practitioner, Family | 81082 | KS |
Practice location
19600 E 39th St SIndependence, MO 64057-2301
Phone 913-222-9779
Mailing address
642 Sw Crestview DrGrain Valley, MO 64029-5000
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