Jacques, Rose M

Jacques, Rose M is an individual health care provider with primary practice located at 860 Greenbrier Cir Ste 503 , Chesapeake VA 23320-2663. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Jacques, Rose M can be contacted via phone (757) 861-9050.

Contact Information

Primary practice address
860 Greenbrier Cir Ste 503 Chesapeake VA 23320-2663
Phone: (757) 861-9050
Fax: (757) 861-9051
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 0024173718 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024173718 Virginia

Profile Details

NPI number 1871041376
LBN Legal business name Jacques, Rose M
Credentials PMHNP-BC, FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2016
Last updated Nov 19th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871041376 NPPES
Virginia Other 1871041376 OPTIMA HEALTH
Virginia Other 1871041376 OPTIMA HEALTH
Virginia MEDICAID 1871041376 OPTIMA HEALTH
Virginia Other 1871041376 OPTIMA HEALTH
Virginia Other 1871041376 OPTIMA HEALTH
Virginia Other 1871041376 OPTIMA HEALTH
Virginia Other 1871041376 OPTIMA HEALTH
Virginia MEDICAID 1871041376 OPTIMA HEALTH
Virginia Other 1871041376 OPTIMA HEALTH

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