Individual
MS. JACKIE L ROHRER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 GALWAY TRL S, MADISON, IN 47250-6646
(812) 569-6331
Mailing address
2000 GALWAY TRL S, MADISON, IN 47250-6646
(812) 569-6331
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28158984A
IN
Other
Enumeration date
06/22/2021
Last updated
06/22/2021
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