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Individual
JENNIFER BRIE ROCK
Active
Individual
JENNIFER BRIE ROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP-CP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
5022804
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02124
CPN LICENSE
NM
01
—
5022804
LICENSE
NC
Enumeration date
10/10/2012
Last updated
11/13/2025
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