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Individual

JENETTE NICOLE ROSENLIEB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
9320 STATE ROAD 54, TRINITY, FL 34655-1808
(727) 493-1808
(877) 917-2336
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 274-8200

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9340983
FL
363L00000X
Nurse Practitioner
Primary
APRN9340983
FL
363LF0000X
Family Nurse Practitioner
ARNP9340983
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
024927000
FL
Enumeration date
03/01/2018
Last updated
10/27/2022
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