Individual
MRS. JESSICA LINETTE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2085A RISHEL DR, FORT CAMPBELL, KY 42223-3523
(270) 798-8400
(270) 798-8112
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8400
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
215697
TX
Other
Enumeration date
01/08/2009
Last updated
01/08/2009
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