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

Jade Alexandra Roberts

Individual provider Family Nurse Practitioner · NPI 1134719743

Jade Alexandra Roberts is a Nurse Practitioner in Pearl, Mississippi. Qualified in 2019, 7 years ago. Practices with Wound Management Specialists LLC, a 158-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
7
Licensed in
MS
In the registry since
2021
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Practice location Address checks out

2507A Old Brandon Rd
Pearl, MS 39208-4604
Phone: (601) 345-2124
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 903844 (MS)

Record details

NPI number1134719743
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 19, 2021
Last updated in NPPESApril 3, 2023
Certification dateApril 3, 2023
Mailing address603 McDonald Dr Apt E, Clinton, MS 39056-5388

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Wound Management Specialists Llc — 158 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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