IndividualActive
Shannon Roberts, MD FACOG
NPI 1396797239 · Obstetrics & Gynecology Physician · Jackson, WY
Provider details
- NPI number
- 1396797239
- Entity type
- Individual
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD FACOG
- Sex
- Female
- Sole proprietor
- No
- License
- 6698A (WY)
Practice location
555 E Broadway Ave
Ste 108
Jackson, WY 83001-8640
Phone: (307) 734-1005
Fax: (307) 734-1165
Mailing address
Po Box 1844
Jackson, WY 83001-1844
Registry dates
- Enumerated
- 2006-05-17
- Last updated
- 2012-12-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.