Individual
JENNICA LISETTE ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1215 REGENTS BLVD STE 2A, FIRCREST, WA 98466-6061
(253) 343-4013
Mailing address
3610 BRIDGEPORT WAY W APT 501, UNIVERSITY PLACE, WA 98466-4344
(210) 906-9658
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP140646
TX
363LF0000X
Family Nurse Practitioner
Primary
AP61341503
WA
Other
Enumeration date
02/16/2019
Last updated
07/24/2026
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