Individual
MRS. JACQUELYN EDITH ROCKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
500 CHERRY ST, DODGE CITY, KS 67801-5626
(334) 549-2903
Mailing address
4028 MEREDITH DR, MONTGOMERY, AL 36109-2343
(334) 549-2903
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1034848
AL
Other
Enumeration date
06/28/2006
Last updated
03/06/2015
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