Individual
JEANINE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3633 MARKET PL W, UNIVERSITY PLACE, WA 98466-4489
(253) 473-7830
Mailing address
PO BOX 258, LAKE STEVENS, WA 98258-0258
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61430167
WA
Other
Enumeration date
04/13/2023
Last updated
04/13/2023
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