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Individual

JENNIFER J. ROGGY

Active
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Individual

JENNIFER J. ROGGY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP-BC, AOCNP

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
121297
MO
163W00000X
Registered Nurse
14-82525-042
KS
363LA2200X
Adult Health Nurse Practitioner
Primary
121297
MO
363LA2200X
Adult Health Nurse Practitioner
45513
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1578714895
MO
05
200633470B
KS
Enumeration date
10/06/2008
Last updated
12/11/2018
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