Young, Rochelle Rocha
Young, Rochelle Rocha is an individual health care provider with primary practice located at 1500 E Woodrow Wilson Ave , Jackson MS 39216-5116. 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. Young, Rochelle Rocha can be contacted via phone (601) 362-4471.Contact Information
Primary practice address
1500 E Woodrow Wilson Ave
Jackson MS 39216-5116
Phone: (601) 362-4471
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 863887 | Mississippi |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R863887 | Mississippi |
Profile Details
| NPI number | 1669664876 |
|---|---|
| LBN Legal business name | Young, Rochelle Rocha |
| Credentials | FNP-C, FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2007 |
| Last updated | Jan 30th, 2023 - about 3 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 | 1669664876 | NPPES |
| Mississippi | MEDICAID | 08580270 |
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