Individual
JENNIFER ROBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
1020 E IDEL ST, TYLER, TX 75701-2024
(903) 535-2902
Mailing address
2575 MEADOWLAND CT, TYLER, TX 75707-6281
(903) 581-0630
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
678245
TX
Other
Enumeration date
09/05/2012
Last updated
09/05/2012
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