Individual
MRS. JESSICA MARIE ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
102 DUNHILL PL NW, CLEVELAND, TN 37311-3885
(423) 339-9581
(423) 472-0494
Mailing address
PO BOX 2070, CLEVELAND, TN 37320-2070
(423) 339-9581
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
188781
TN
363LF0000X
Family Nurse Practitioner
Primary
28131
TN
Other
Enumeration date
09/14/2020
Last updated
03/22/2021
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