Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
ROSE M JACQUES
Active
Individual
ROSE M JACQUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC, FNP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024173718
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
0024173718
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1871041376
OPTIMA HEALTH
VA
05
—
1871041376
—
NC
05
—
1871041376
—
VA
Enumeration date
09/14/2016
Last updated
11/19/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up