Roussel, Jarrod D
Roussel, Jarrod D is an individual health care provider with primary practice located at 315 Deaderick St Ste 1550 , Nashville TN 37238-3003. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Roussel, Jarrod D can be contacted via phone (888) 803-3370.Contact Information
Primary practice address
315 Deaderick St Ste 1550
Nashville TN 37238-3003
Phone: (888) 803-3370
Fax: (415) 779-8032
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA9110302 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA0000001012 | Tennessee |
Profile Details
| NPI number | 1538134721 |
|---|---|
| LBN Legal business name | Roussel, Jarrod D |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2006 |
| Last updated | Jun 28th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538134721 | NPPES |
| Florida | Other | KN153 | MEDICARE |
| Florida | Other | 3720420 | MEDICARE |
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