Individual
JERROD DARNELL ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1408 LINKS DR APT 10, JONESBORO, AR 72404-7301
(870) 549-7713
Mailing address
2006 WILLOW ST, OSCEOLA, AR 72370-1603
(870) 549-7713
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
228469
AR
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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