Individual
JAMES JASON ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1434 CENTRAL AVE E, WIGGINS, MS 39577-9602
(601) 928-6600
Mailing address
6419 COUNTY ROAD 6, SILAS, AL 36919-6492
(251) 542-9014
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R874544
MS
Other
Enumeration date
07/30/2009
Last updated
07/30/2009
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