Individual
JACQUELINE YVETTE ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN BSN
Contact information
Practice address
3616 PHYLLIS CT, HEPHZIBAH, GA 30815-6216
(706) 589-3100
Mailing address
3616 PHYLLIS CT, HEPHZIBAH, GA 30815-6216
(706) 589-3100
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9455912
FL
Other
Enumeration date
01/24/2022
Last updated
01/24/2022
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