National Provider Identifier
Timothy Jireh Roberts, LPN
Timothy Jireh Roberts, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Henrietta, NY and a listed phone number of (585) 500-9332.
Profile Overview
- NPI
- 1992357073
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- July 09, 2019
- Last Updated
- July 09, 2019
Practice Location
- 31 High Manor Dr Apt 2
- Henrietta, NY 14467-9114
Phone: (585) 500-9332
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1992357073
- Entity Type
- Individual
- Last Name
- Roberts
- First Name
- Timothy
- Middle Name
- Jireh
- Credential
- LPN
- Mailing Street Address
- 31 High Manor Dr Apt 2
- Mailing City
- Henrietta
- Mailing State
- NY
- Mailing ZIP Code
- 14467-9114
- Mailing Country
- US
- Mailing Phone
- (585) 500-9332
- Practice Street Address
- 31 High Manor Dr Apt 2
- Practice City
- Henrietta
- Practice State
- NY
- Practice ZIP Code
- 14467-9114
- Practice Country
- US
- Practice Phone
- (585) 500-9332
- Enumeration Date
- July 09, 2019
- Last Updated
- July 09, 2019
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)