Rogers, Jan Elisa

Rogers, Jan Elisa is an individual health care provider with primary practice located at 485 Valley Rd , Mocksville NC 27028-2074. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Rogers, Jan Elisa can be contacted via phone (336) 751-8000.

Contact Information

Primary practice address
485 Valley Rd Mocksville NC 27028-2074
Phone: (336) 751-8000
Fax: (336) 751-8010
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 125085 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5007136 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5007136 North Carolina

Profile Details

NPI number 1356741102
LBN Legal business name Rogers, Jan Elisa
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2014
Last updated Oct 26th, 2020 - about 5 years ago

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 1356741102 NPPES
North Carolina MEDICAID 1356741102
North Carolina Other 1356741102

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