Individual provider · Type 1 NPI

Julia Roberts

Nurse Practitioner · Philadelphia, PA

NPI number 1649162355 Active

Practice location

333 Cottman Ave
Philadelphia, PA 19111-2434

Call (215) 707-3883 Map

Fax (215) 728-1185

Mailing address

3509 N Broad St
Philadelphia, PA 19140-4105

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XSP033314 (PA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1649162355

Julia Roberts's National Provider Identifier is 1649162355, issued on Jul 17, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Philadelphia, PA. The record was last updated on Aug 13, 2026.