| NPI | 1346202629 |
|---|---|
| Former Name | JENNIFER JOY ROGERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71001719A) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71001719A) |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2016-08-03 |