Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrew Godfrey Robertson, CPNP-PC

Individual provider Registered Nurse · NPI 1861148926

Andrew Godfrey Robertson, CPNP-PC is a Registered Nurse in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2022.

Licensed in
MS
In the registry since
2022
Specialties on file
2

Practice location Address checks out

2500 N State St
Jackson, MS 39216-4500
Phone: (601) 984-1000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 906479 (MS)
Registered Nurse Taxonomy 163W00000X · Licence 900730 (MS)

Record details

NPI number1861148926
Entity typeIndividual (Type 1)
GenderMale
Credentials CPNP-PC
Sole proprietorNo
NPI enumeratedFebruary 28, 2022
Last updated in NPPESJune 3, 2025
Certification dateJune 3, 2025

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