Individual
JILL ANN ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
703 S FLEISHEL AVE STE 5000, TYLER, TX 75701-2015
(903) 606-7525
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 324-6450
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP105649
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
513933
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146749002
—
TX
05
—
146749003
—
TX
01
—
75-2616977-123
TRICARE
TX
01
—
752616977096
TRICARE
TX
01
—
8N8980
BCBS PROVIDER #
TX
01
—
8Y9250
BCBS
TX
01
—
TIN PLUS 096
TRICARE
TX
Enumeration date
08/03/2006
Last updated
04/22/2026
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