JEZEL E ROSA APRN NPI 1174810659

NPI Information

NPI: 1174810659
Provider Name: JEZEL E ROSA, APRN
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
600 W OCEAN DR # 591
KEY COLONY BEACH, FL
ZIP 33051
Phone: (786) 751-2082
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Jezel E Rosa, APRN is a psychiatric/mental health nurse practitioner in Key Colony Beach, 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:

600 W OCEAN DR # 591
KEY COLONY BEACH, FL
ZIP 33051-000
Phone: (786) 751-2082
Fax: (786) 590-1944

The enumeration date for this NPI number is 7/5/2011 and was last updated on 2/7/2022.

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	163W00000X	Registered Nurse		9386197	FLORIDA	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	APRN11013721	FLORIDA	Yes

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
1	RN 9386197	OTHER	FLORIDA	RN LICENSE
2	APRN11013721	OTHER	FLORIDA	FLORIDA DEPARTMENT OF HEALTH
3	PMHNP-BC2021032994	OTHER	FLORIDA	ANCC

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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