Search › Michigan › 101YA0400X
Jeanie Roberts
NPI 1154817922 · on the registry since 2018 · sole proprietor
Practice
- Address
- 3300 Lansing Ave
Jackson, MI 49202 - Phone
- (254) 458-3509
- Organisation at this address
- Victory Clinical Services
Victory Clinical Services Iii LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 24
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-07-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan