Individual
JENNIFER UNDUTCH ROSSIGNOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
865 N HIGHLAND AVE NE, ATLANTA, GA 30306-4565
(404) 733-6089
Mailing address
865 N HIGHLAND AVE NE, ATLANTA, GA 30306-4565
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
218226
GA
363LF0000X
Family Nurse Practitioner
95012490
CA
363LF0000X
Family Nurse Practitioner
AP10887
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP10887
STATE LICENSE
AZ
Enumeration date
03/20/2018
Last updated
11/09/2020
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