| NPI | 1417956590 |
|---|---|
| Former Name | JERRI LYNN ROBERTSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP104041) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX 541369) |
| 363LP0200X Nurse Practitioner Pediatrics (Licence: TX 541369) | |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2017-09-25 |