Individual
JENNA M ROGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(724) 787-9003
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-5000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
086766-23
NH
367500000X
Certified Registered Nurse Anesthetist
Primary
RN671071
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/16/2022
Last updated
09/25/2024
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