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Jessica Roth is one of 69 nurse practitioners practicing in Southlake, Texas .
Jessica Roth practices with Texas Digestive Disease Consultants, PLLC.
Registry record (NPPES)
NPI
1407327224
Type
Type 1 · Individual
Primary taxonomy
Nurse Practitioner · 363L00000X
Address on file
900 W Magnolia Ave Ste 100 Fort Worth, TX 76104-8518 (817) 870-7300
Enumerated
Dec 6, 2018
Record last updated
Apr 27, 2021
License states listed
TX
Medicare (CMS)
Enrollment
Medicare-enrolled in TXNurse Practitioner
Revalidation due
No date set by CMS
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Part D prescribing
Procedure volumes by CPT code
Group affiliations and colleagues
Full enrollment history
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Practice locations
505 S Nolen Dr A
Southlake , TX 76092
(817) 424-1525
More nurse practitioners in Southlake
Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.
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