Individual
JESSICA ROSE ROTOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
29 TAYLOR AVE STE 101, CROSSVILLE, TN 38555-4536
(931) 484-6061
(931) 484-6062
Mailing address
29 TAYLOR AVE STE 101, CROSSVILLE, TN 38555-4536
(931) 484-6061
(931) 484-6062
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8413
GA
Other
Enumeration date
08/07/2017
Last updated
08/05/2019
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