Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNICA LISETTE ROSA, NP-C
ActiveJENNICA LISETTE ROSA, NP-C is a Family Nurse Practitioner healthcare provider located in RUSTON, Washington. NPI 1174089965 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · RUSTON, WA
Registration Details
- NPI Number
- 1174089965
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 16, 2019 (7.4828958785838 yrs)
- Last Updated
- Sep 9, 2024
- Licenses
-
AP140646 (TX)AP61341503 (WA)
Practice Information
- Address
-
5046 N HIGHLAND STRUSTON, WA, 984073118Browse WA providers · Browse ZIP 98407
- Phone
- 2109069658
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
- Additional Specialty
- Family Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.