person
Jennifer Diane Roth, FNP-C
Family Nurse Practitioner in Cape Girardeau, Missouri
NPI 1477105427

Jennifer Diane Roth is a Family Nurse Practitioner based in Perryville, MO and is specialized in Family. Jennifer Diane Roth practices in Cape Girardeau, MO and has the professional credentials of FNP-C. The NPI Number for Jennifer Diane Roth is 1477105427 and holds a License No. 2019024741 (Missouri).

The current practice location address for Jennifer Diane Roth is 1723 Broadway St Ste 315, Cape Girardeau, MO and can be reached out via phone at 573-519-4960 and via fax at 573-519-4655.

Location: 1723 Broadway St Ste 315, Cape Girardeau, MO, 63775-6631
person
Provider Profile Details
NPI Number
1477105427
Provider Name
Jennifer Diane Roth
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
1723 Broadway St Ste 315, Cape Girardeau, MO, 63775-6631
Phone Number
573-519-4960
Fax Number
573-519-4655
Provider Enumeration Date
07/10/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1723 Broadway St Ste 315
City
State
Zip
63701-4556
Phone Number
573-519-4960
Fax Number
573-519-4655
person
Provider Business Mailing Address Details
Address
1723 Broadway St Ste 315
City
State
Zip
63701-4556
Phone Number
573-519-4960
Fax Number
573-519-4655
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
2019024741 (Missouri)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
2019024741 (Missouri)
Definition
Definition to come...
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