Individual
JENNIFER RENE ROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 W 5TH AVE STE 323, SPOKANE, WA 99204-2800
(509) 342-3200
Mailing address
801 W 5TH AVE STE 323, SPOKANE, WA 99204-2800
(509) 342-3200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
196696-30
WI
363L00000X
Nurse Practitioner
Primary
AP61114890
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
196696-30
WISCONSIN RN LICENSE
WI
Enumeration date
06/20/2018
Last updated
06/29/2023
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