Individual
JESSICA ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN, ACAGNP-BC
Contact information
Practice address
506 E SAN ANTONIO ST, VICTORIA, TX 77901-6060
(361) 935-6771
Mailing address
5356 OLD HIGHWAY RD, INEZ, TX 77968-3676
(361) 935-6771
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP130615
TX
Other
Enumeration date
03/28/2016
Last updated
03/28/2016
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