Individual
JEANETTE MARIE ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
500 UPPER CHESAPEAKE DR, BEL AIR, MD 21014-4324
(443) 643-2000
Mailing address
198 JEANNETTE LN, DELTA, PA 17314-9500
(443) 640-5109
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R143586
MD
Other
Enumeration date
01/07/2020
Last updated
01/07/2020
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