Individual
BOBBIE HARRIS ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1524 KINGWOOD DR, KINGWOOD, TX 77339-3042
(281) 247-7289
Mailing address
5846 S FLAMINGO RD, COOPER CITY, FL 33330-3237
(239) 961-9717
(954) 306-6875
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11020819
FL
363LF0000X
Family Nurse Practitioner
683412
TX
363LF0000X
Family Nurse Practitioner
69849
NM
363LF0000X
Family Nurse Practitioner
851408
NV
363LF0000X
Family Nurse Practitioner
TPAN206
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902075666
—
TX
Enumeration date
02/27/2008
Last updated
05/08/2023
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