Individual
JENNIFER L ROSSOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4333 W ST JOE HWY, LANSING, MI 48917-4100
(517) 321-1525
(517) 321-7059
Mailing address
4333 W ST JOE HWY, LANSING, MI 48917-4100
(517) 321-1525
(517) 321-7059
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704189923
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704189923
STATE LICENSE
MI
Enumeration date
07/15/2014
Last updated
07/15/2014
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