Individual
JAIME L ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
601 JOHN ST STE M-510, KALAMAZOO, MI 49007-5341
(269) 341-7762
Mailing address
601 JOHN STREET, BOX 39, KALAMAZOO, MI 49007-5348
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN2335194
MA
363LA2100X
Acute Care Nurse Practitioner
Primary
4704385590
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
355111101
—
TX
01
—
355111102
CSHCN
TX
Enumeration date
11/24/2015
Last updated
07/27/2022
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