JENAE ROSELAND ARNP NPI 1811505282

NPI Information

  • NPI: 1811505282
  • Provider Name: JENAE ROSELAND, ARNP
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 420 NE GLEN OAK AVE STE 301
    PEORIA, IL
    ZIP 61603
  • Phone: (309) 655-3453

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NPI Details

Jenae Roseland, ARNP is a pediatrics nurse practitioner in Peoria, IL with 6 years of experience. Jenae Roseland, ARNP NPI is 1811505282. 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:

420 NE GLEN OAK AVE STE 301
PEORIA, IL
ZIP 61603-112
Phone: (309) 655-3453

The NPI 1811505282 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 7/21/2020 and was last updated on 8/27/2024.

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
1363LP0200XNurse PractitionerPediatrics209023939ILLINOISYes
2363LP0222XNurse PractitionerPediatrics, Critical CareC159713IOWANo

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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