Individual
JULIA ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1201 RICKER RD, SALEM, IL 62881-4263
(618) 548-3194
Mailing address
1201 RICKER RD, SALEM, IL 62881-4263
(618) 548-3194
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209035359
IL
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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