Individual
JENNIFER MARIE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
6 MATHIS DR NW, ROME, GA 30165-1242
(706) 980-9516
Mailing address
722 MOUNTAIN HOME RD, CEDARTOWN, GA 30125-7411
(678) 988-3416
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN239253
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN239253
GA
Other
Enumeration date
09/15/2014
Last updated
01/06/2022
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