Individual
JESSICA GRATZIELLA ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
37 WALKER AVE STE 100, PIKESVILLE, MD 21208-4030
(410) 653-6500
Mailing address
37 WALKER AVE STE 100, PIKESVILLE, MD 21208-4030
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R231328
MD
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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