Roberts, Jill Ann

Roberts, Jill Ann is an individual health care provider with primary practice located at 703 S Fleishel Ave Ste 5000 , Tyler TX 75701-2015. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Roberts, Jill Ann can be contacted via phone (903) 606-7525.

Contact Information

Primary practice address
703 S Fleishel Ave Ste 5000 Tyler TX 75701-2015
Phone: (903) 606-7525
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP105649 Texas
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 513933 Texas

Profile Details

NPI number 1851309173
LBN Legal business name Roberts, Jill Ann
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Jun 13th, 2024 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851309173 NPPES
Texas MEDICAID 146749003
Texas Other 75-2616977-123
Texas Other 8N8980
Texas Other 8Y9250
Texas Other TIN PLUS 096
Texas MEDICAID 146749002
Texas Other 752616977096

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