IndividualActive
Andrew Robertson, CPNP-PC
NPI 1861148926 · Pediatric Nurse Practitioner · Jackson, MS
Provider details
- NPI number
- 1861148926
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CPNP-PC
- Sex
- Male
- Sole proprietor
- No
- License
- 900730 (MS)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Practice location
2500 N State St
Jackson, MS 39216-4500
Phone: (601) 984-1000
Approximate (ZIP-level) locationGet directions
Mailing address
2500 N State St
Jackson, MS 39216-4500
Registry dates
- Enumerated
- 2022-02-28
- Last updated
- 2025-06-03
- Certified
- 2025-06-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.