Individual
JENAE ROSELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
420 NE GLEN OAK AVE STE 301, PEORIA, IL 61603-3112
(309) 655-3453
Mailing address
420 NE GLEN OAK AVE STE 301, PEORIA, IL 61603-3112
(309) 655-3453
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209023939
IL
363LP0222X
Critical Care Pediatric Nurse Practitioner
C159713
IA
Other
Enumeration date
07/21/2020
Last updated
08/27/2024
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