Individual
JENNIFER ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 N MIAMI BEACH BLVD, NORTH MIAMI BEACH, FL 33162-3842
(786) 320-5559
(786) 796-1021
Mailing address
PO BOX 267186, WESTON, FL 33326-7186
(786) 320-5559
(786) 796-1021
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
11020745
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2022028628
FL
Other
Enumeration date
07/07/2022
Last updated
09/14/2024
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