Individual
MRS. JENNIFER R ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1428 TAYLOR AVE, SHERIDAN, WY 82801-2331
(307) 620-2912
(307) 464-7057
Mailing address
1428 TAYLOR AVE, SHERIDAN, WY 82801-2331
(307) 620-2912
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
46645
WY
Other
Enumeration date
02/12/2021
Last updated
12/01/2021
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