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Individual

JENNY LYNN ROGERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, APRN, FNP-BC

Contact information

Practice address
102 RIVERVIEW DR STE A, FLOWOOD, MS 39232-8908
(601) 981-1610
(601) 366-2887
Mailing address
102 RIVERVIEW DR STE A, FLOWOOD, MS 39232-8908
(601) 981-1610
(601) 366-2887

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
905547
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200002331
MS
01
905547
LICENSE
MS
Enumeration date
08/29/2022
Last updated
06/16/2025
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