Rose, Jessica H

Rose, Jessica H is an sole proprietor health care provider with primary practice located at 584 E Blue Rock Way , Vail AZ 85641-2270. She recently has only one registered license in Nursing Service Providers / General Practice, which is considered as her primary health care specialty. Rose, Jessica H can be contacted via phone (813) 451-9254.

Contact Information

Primary practice address
584 E Blue Rock Way Vail AZ 85641-2270
Phone: (813) 451-9254
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 148950 Arizona

Profile Details

NPI number 1861028581
LBN Legal business name Rose, Jessica H
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 13th, 2020
Last updated Mar 13th, 2020 - about 6 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 1861028581 NPPES
Arizona Other 148950 LICENSE

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