Individual
DR. NANELLEN JO ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1405 7TH ST, AURORA, NE 68818-1141
(402) 694-6900
(402) 694-6904
Mailing address
2203 N V RD, HAMPTON, NE 68843-3113
(402) 694-6900
(402) 694-6904
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
864
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09834
BCBS
NE
05
—
47081840100
—
NE
Enumeration date
06/13/2006
Last updated
07/08/2007
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