Individual
CHRYSTAL ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2582 CERULEAN RD, CADIZ, KY 42211-9605
(731) 394-1145
Mailing address
36 PEMBERTON CV, JACKSON, TN 38305-5514
(731) 394-1145
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
3013778
KY
363LP2300X
Primary Care Nurse Practitioner
30838
TN
Other
Enumeration date
08/28/2019
Last updated
03/01/2023
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