Individual
JENNIFER NICOLE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
107 S LOGAN ST, CHARLESTON, AR 72933-9036
(479) 573-3120
(479) 965-2008
Mailing address
107 S LOGAN ST, CHARLESTON, AR 72933-9036
(479) 573-3120
(479) 965-2008
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
223441
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
223441
APRN-CNP
AR
01
—
F01230570
AANP CERTIFICATION NUMBER
AR
Enumeration date
02/14/2023
Last updated
03/20/2023
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