Individual
JENNIFER A. ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2175 CHAMBLISS AVE NW, SUITE D, CLEVELAND, TN 37311-3842
(423) 472-1140
(423) 339-2242
Mailing address
2175 CHAMBLISS AVE NW, SUITE D, CLEVELAND, TN 37311-3842
(423) 458-6267
(423) 790-7136
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
18143
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q002647
—
TN
Enumeration date
11/15/2013
Last updated
07/15/2016
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