JENNIFER ROSE MSOM LAC LPN NPI 1578682431

NPI Information

NPI: 1578682431
Provider Name: JENNIFER ROSE, MSOM, LAC, LPN
Classification: Nutritionist - 133NN1002X
Entity Type: Individual

Specialization: Nutrition, Education

Address:
4103 60TH ST
KENOSHA, WI
ZIP 53144
Phone: (262) 331-4083
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Jennifer Rose, MSOM, LAC, LPN is a nutrition and education nutritionist in Kenosha, WI. Jennifer Rose, MSOM, LAC, LPN NPI is 1578682431. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4103 60TH ST
KENOSHA, WI
ZIP 53144-509
Phone: (262) 331-4083

The enumeration date for this NPI number is 3/29/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	133NN1002X	Nutritionist	Nutrition, Education			Yes
2	164W00000X	Licensed Practical Nurse		4703039858	MICHIGAN	X
3	171100000X	Acupuncturist		423-055	WISCONSIN	X
4	174400000X	Specialist				X
5	164W00000X	Licensed Practical Nurse			WISCONSIN	X

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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