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Contact Information

JILL M WORTHAM, PA-C
6210 S. BROADWAY
TYLER, TX75703
 Phone: 800-893-9698
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for JILL M WORTHAM · (Female)

NPI # 1346279031
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 07/03/2006
Last updated 12/22/2015 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • TX License # PA01852
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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