IndividualActive
Jacquelyn Roberts, ARNP
NPI 1801880497 · Obstetrics & Gynecology Nurse Practitioner · Moultrie, GA
Provider details
- NPI number
- 1801880497
- Entity type
- Individual
- Primary specialty
- Obstetrics & Gynecology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- ARNP
- Sex
- Female
- License
- RN128424 (GA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
115 31st Ave Se
Moultrie, GA 31768-6771
Phone: (229) 890-1665
Fax: (229) 985-5050
Approximate (ZIP-level) locationGet directions
Mailing address
115 31st Ave Se
Moultrie, GA 31768-6771
Registry dates
- Enumerated
- 2005-09-09
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.