Rose, Jennifer Ann

Rose, Jennifer Ann is an individual health care provider with primary practice located at 6 Mountain Ledge , Gansevoort NY 12831-2539. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Rose, Jennifer Ann can be contacted via phone (518) 584-0355.

Contact Information

Primary practice address
6 Mountain Ledge Gansevoort NY 12831-2539
Phone: (518) 584-0355
Fax: (518) 583-7665
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 382401 New York

Profile Details

NPI number 1609211242
LBN Legal business name Rose, Jennifer Ann
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2013
Last updated May 15th, 2015 - about 11 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 1609211242 NPPES
New York MEDICAID 03648780

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