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

Individual provider Registered Nurse · NPI 1245990605

Stacey Allison Roberson, CRNP is a Nurse Practitioner in Plymouth Meeting, Pennsylvania. Qualified in 2021, 5 years ago. Practices with Suburban Geriatric's, Inc, a 100-clinician group. Licensed in Pennsylvania.

Years since qualifying
5
Licensed in
PA
In the registry since
2021
Specialties on file
3
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

2901 Jolly Rd
Plymouth Meeting, PA 19462-2324
Phone: (610) 272-8221
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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 NPPA058751 (PA)
Registered Nurse Taxonomy 163W00000X · Licence RN549799 (PA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence SP025511 (PA)

Record details

NPI number1245990605
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedDecember 28, 2021
Last updated in NPPESMay 8, 2024
Certification dateMay 8, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Suburban Geriatric'S, Inc. — 100 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Plymouth Meeting