IndividualActive
Justin Roberts, NP-C
NPI 1962953158 · Gerontology Nurse Practitioner · Muskogee, OK
Provider details
- NPI number
- 1962953158
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP-C
- Sex
- Male
- Sole proprietor
- No
- License
- 84805 (OK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
333 S 38th St Ste E
Muskogee, OK 74401-4937
Phone: (918) 910-5391
Fax: (918) 910-5395
Approximate (ZIP-level) locationGet directions
Mailing address
333 S 38th St Ste E
Muskogee, OK 74401-4937
Registry dates
- Enumerated
- 2016-10-22
- Last updated
- 2016-10-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.