JENNICA LISETTE ROSA NP-C NPI 1174089965

NPI Information

NPI: 1174089965
Provider Name: JENNICA LISETTE ROSA, NP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
112 S 8TH ST
TACOMA, WA
ZIP 98402
Phone: (253) 272-0655
Get Directions

Jennica Lisette Rosa, NP-C is a family nurse practitioner in Tacoma, WA. Jennica Lisette Rosa, NP-C NPI is 1174089965. 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:

112 S 8TH ST
TACOMA, WA
ZIP 98402-284
Phone: (253) 272-0655

The NPI 1174089965 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/16/2019 and was last updated on 2/20/2023.

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	363LF0000X	Nurse Practitioner	Family	AP140646	TEXAS	No
2	363LF0000X	Nurse Practitioner	Family	AP61341503	WASHINGTON	Yes

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: 5/5/2024

NPI Synchronization or Removal

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