JACKIE ROBERTS LPN
NPI 1174678189
Licensed Practical Nurse in Cheyenne, WY

Q: What is Jackie Roberts's NPI number?

The NPI number for Jackie Roberts is 1174678189. It was assigned to this individual provider in the NPPES registry on January 23, 2007.

Q: What is Jackie Roberts's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Jackie Roberts was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 23, 2007

300 E PROSSER RD LOT 11, CHEYENNE, WY 82007(307) 635-3972 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jackie Roberts Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKIE ROBERTS LPN (NPI 1174678189) is an individual licensed practical nurse in Cheyenne, Wyoming, licensed in Wyoming (5526) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1174678189

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameJACKIE ROBERTSCredential: LPN

Location Address300 E PROSSER RD LOT 11Cheyenne, WY 82007-3128

Mailing Address300 E Prosser Rd Lot 11Cheyenne, WY 82007-3128 · (307) 635-3972

Phone(307) 635-3972

Sole ProprietorNo

Enumeration DateJanuary 23, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1174678189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in WY · 5526

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

300 E PROSSER RD LOT 11, Cheyenne, WY 82007

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackie Roberts's NPI number?

The NPI number for Jackie Roberts is 1174678189. It was assigned to this individual provider in the NPPES registry on January 23, 2007.

Where is Jackie Roberts located?

Jackie Roberts practices at 300 E Prosser Rd Lot 11, Cheyenne, WY 82007. The listed phone number is (307) 635-3972.

What is Jackie Roberts's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Jackie Roberts was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.