# JILL E GOEBEL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1982816260
- **Gender:** F
- **Credential:** RPA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 004115-1 | NY | — |
| 363A00000X | Physician Assistant | 25MP00009500 | NJ | Yes |
| 363A00000X | Physician Assistant | MA052878 | PA | — |

## Other

- **Enumeration date:** 05/07/2007
- **Last updated:** 05/17/2008
