Individual
JENNIFER ANN ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2410 AVALON AVE, MUSCLE SHOALS, AL 35661-3283
(256) 386-0808
(256) 389-8904
Mailing address
2410 AVALON AVE, MUSCLE SHOALS, AL 35661-3283
(256) 386-0808
(256) 389-8904
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
1-155978
AL
363LP2300X
Primary Care Nurse Practitioner
Primary
1-155978
AL
Other
Enumeration date
08/20/2021
Last updated
05/16/2024
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