JEZEL E ROSA APRN NPI 1174810659

NPI Information

  • NPI: 1174810659
  • Provider Name: JEZEL E ROSA, APRN
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 9611 N US HIGHWAY 1 # 363
    SEBASTIAN, FL
    ZIP 32958
  • Phone: (786) 751-2082

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NPI Details

Jezel E Rosa, APRN is a psychiatric/mental health nurse practitioner in Sebastian, FL. Jezel E Rosa, APRN NPI is 1174810659. 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:

9611 N US HIGHWAY 1 # 363
SEBASTIAN, FL
ZIP 32958-363
Phone: (786) 751-2082
Fax: (786) 590-1944

The NPI 1174810659 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 7/5/2011 and was last updated on 1/1/2026.

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
1163W00000XRegistered Nurse95406221CALIFORNIANo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthNP002610GEORGIANo
3363LP0808XNurse PractitionerPsychiatric/Mental Health72029NEW MEXICONo
4363LP0808XNurse PractitionerPsychiatric/Mental HealthSP031881PENNSYLVANIANo
5363LP0808XNurse PractitionerPsychiatric/Mental Health1197802TEXASNo
6363LP0808XNurse PractitionerPsychiatric/Mental Health51503WYOMINGNo
7363LP0808XNurse PractitionerPsychiatric/Mental HealthAP70009299WASHINGTONNo
8363LP0808XNurse PractitionerPsychiatric/Mental HealthAPRN.CNP.0040663OHIONo
9163W00000XRegistered Nurse9386197FLORIDANo
10363LP0808XNurse PractitionerPsychiatric/Mental Health95034679CALIFORNIANo
11363LP0808XNurse PractitionerPsychiatric/Mental Health30145TENNESSEENo
12363LP0808XNurse PractitionerPsychiatric/Mental HealthAPRN11013721FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1RN 9386197OTHERFLORIDARN LICENSE
2PMHNP-BC2021032994OTHERFLORIDAANCC
3APRN11013721OTHERFLORIDAFLORIDA DEPARTMENT OF HEALTH

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: 11/21/2025

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