JANISE ROEBUCK NP NPI 1023651080

NPI Information

NPI: 1023651080
Provider Name: JANISE ROEBUCK, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1444 BUCKINGHAM PLACE
STOCKBRIDGE, GA
ZIP 30281
Phone: (678) 516-4022
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Janise Roebuck, NP is a family nurse practitioner in Stockbridge, GA. Janise Roebuck, NP NPI is 1023651080. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1444 BUCKINGHAM PLACE
STOCKBRIDGE, GA
ZIP 30281
Phone: (678) 516-4022

The NPI 1023651080 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 10/23/2019 and was last updated on 11/30/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		F10190792	GEORGIA	No
2	207Q00000X	Family Medicine		RN248182	GEORGIA	No
3	207R00000X	Internal Medicine		RN248182	GEORGIA	No
4	363LF0000X	Nurse Practitioner	Family	F10190792	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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