Jennifer Rose in Racine - Licensed Practical Nurse

Jennifer Rose - NPI 1578682431

Jennifer Rose is a Licensed Practical Nurse in Racine, Wisconsin. Jennifer Rose practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Jennifer Rose is 1578682431. The last update date is 2007-07-08.

Jennifer Rose's current location address is 424 Shelley Dr, Racine, Wisconsin. You can contact this provider via phone number 2623314083. The mailing address for Jennifer Rose is 424 Shelley Dr, Racine, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Jennifer Rose
Address 424 Shelley Dr, Racine, Wisconsin
Phone Number 2623314083
Fax Number
Sole Proprietor N
Credentials MSOM, LAC,

NPI Number Detail

NPI Number 1578682431
Provider Enumeration Date 2007-03-29
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 424 Shelley Dr
City Racine
State Wisconsin (WI)
Post Code 534052141
Phone Number 2623314083
Fax Number

Provider's Primary Taxonomy Detail

Speciality Licensed Practical Nurse
Taxonomy 164W00000X
Licence No 4703039858
Definition:
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r

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FAQs about Jennifer Rose

What is the unique 10-digit identification code assigned to Jennifer Rose by the Centers for Medicare & Medicaid Services?

The Jennifer Rose has been issued the NPI (National Provider Identifier) 1578682431, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Jennifer Rose?

The Jennifer Rose is situated at 424 Shelley Dr, in the city of Racine, state of WI, with the zip code 534052141.

What is the Jennifer Rose's specialty and taxonomy code?

The Jennifer Rose's specialty is Licensed Practical Nurse, and the corresponding taxonomy code is 164W00000X.

When did the Jennifer Rose receive its 1578682431?

The Jennifer Rose was issued its 1578682431 on 2007-03-29, which is the date when the organization was assigned this unique identifier.

When was the information regarding Jennifer Rose, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Jennifer Rose, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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