Individual
MS. LEONA CAROL ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1080 2ND ST, CHEROKEE, AL 35616-7328
(256) 359-4519
(256) 359-4516
Mailing address
PO BOX 2587, MUSCLE SHOALS, AL 35662-2587
(256) 383-4473
(256) 381-5232
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-105688
AL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
1-105688
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326373861
GROUP NPI
AL
Enumeration date
02/07/2012
Last updated
08/11/2014
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