Individual
JESSIE ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
438 STUDENT HEALTH CTR, UNIVERSITY PARK, PA 16802-2129
(814) 863-0774
Mailing address
438 STUDENT HEALTH CTR, UNIVERSITY PARK, PA 16802-2129
(814) 863-0774
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN282843
PA
Other
Enumeration date
01/21/2016
Last updated
01/21/2016
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