| Doctor Name: | MRS. JEANNIE CHARMAINE ROBERTS |
| NPI Number: | 1114219003 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N. |
| License Number: | RA49280 |
| Business Practice Address: | 1010 Silver Leaf Dr Alexander, AR - 720027826 |
| Business Phone Number: | 5019099027 |
| Business Fax Number: | |
| Mailing Address: | 1010 Silver Leaf Dr, ALEXANDER |
| State: | AR |
| Postal Code: | 720027826 |
| Phone Number: | 5019099027 |
| Fax Number: | |
| NPI Enumeration Date: | 05/10/2011 |
| NPI Last Update Date: | 05/10/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0200X |
| License Number: | RA49280 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |