Individual
DR. JAMIE LEE ROUSE
Active
Individual
DR. JAMIE LEE ROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5010603
NC
363LG0600X
Gerontology Nurse Practitioner
Primary
5010603
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
259056
RN LICENSE NUMBER
NC
01
—
5010603
APPROVAL TO PRACTICE NUMBER
NC
01
—
AG06180058
AGPCNP CERTIFICATION NUMBER
—
Enumeration date
06/14/2018
Last updated
09/12/2025
Update your record
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