Individual
JAIMIE ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, WHNP
Contact information
Practice address
428 HOSPITAL DR, WARRENTON, VA 20186-3026
(571) 261-3529
(540) 349-4401
Mailing address
PO BOX 748613, ATLANTA, GA 30384-8613
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
0024169987
VA
363L00000X
Nurse Practitioner
Primary
0024169987
VA
Other
Enumeration date
03/29/2012
Last updated
02/24/2023
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