Tracy, Jill Ann

Tracy, Jill Ann is an individual health care provider with primary practice located at 2120 Golden Hill Rd Ste 102 , Paso Robles CA 93446-7048. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Tracy, Jill Ann can be contacted via phone (805) 434-2900.

Contact Information

Primary practice address
2120 Golden Hill Rd Ste 102 Paso Robles CA 93446-7048
Phone: (805) 434-2900
Fax: (805) 434-2928
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 18510 California

Profile Details

NPI number 1669466132
LBN Legal business name Tracy, Jill Ann
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Mar 4th, 2026 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669466132 NPPES
California Other CB220941 MEDICARE ID

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