Individual
JERLYN ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN, CLNC
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28131660-A
IN
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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