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

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: July 26, 2026.

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
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

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 with the weekly NPPES data releases published by CMS.