Individual
MRS. JENNIFER L ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1000 S 12TH ST, MURRAY, KY 42071-9303
(270) 759-9200
(270) 759-9966
Mailing address
1000 S 12TH ST, MURRAY, KY 42071-9303
(270) 759-9200
(270) 759-9966
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4026P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000296638
BLUECROSS AND BLUE SHIELD
KY
05
—
78010394
—
KY
01
—
78901527
OTHER MEDICAID GROUP
KY
Enumeration date
04/20/2006
Last updated
10/16/2015
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