person
Jennifer Ann Rose, NP
Pediatric Nurse Practitioner in Broadalbin, New York
NPI 1609211242

Jennifer Ann Rose is a Pediatric Nurse Practitioner based in Broadalbin, NY and is specialized in Pediatrics. Jennifer Ann Rose practices in Broadalbin, NY and has the professional credentials of NP. The NPI Number for Jennifer Ann Rose is 1609211242 and holds a License No. 382401 (New York).

The current practice location address for Jennifer Ann Rose is 103 County Highway 138, Broadalbin, NY and can be reached out via phone at 518-883-1023 and via fax at 518-583-7665.

Location: 103 County Highway 138, Broadalbin, NY, 12025-6902
person
Provider Profile Details
NPI Number
1609211242
Provider Name
Jennifer Ann Rose
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
103 County Highway 138, Broadalbin, NY, 12025-6902
Phone Number
518-883-1023
Fax Number
518-583-7665
Provider Enumeration Date
05/09/2013
Last Update Date
11/16/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
03648780 05 NY
institution
Provider Business Practice Location Address Details
Address
103 County Highway 138
City
State
Zip
12025-6902
Phone Number
518-883-1023
Fax Number
518-583-7665
person
Provider Business Mailing Address Details
Address
103 County Highway 138
City
State
Zip
12025-6902
Phone Number
518-883-1023
Fax Number
518-583-7665
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
382401 (New York)
Definition
Definition to come...
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