Jamie Rose

Individual provider Active NPI Registered Nurse · Stockbridge, MI

NPI 1306349568 · NPPES record last updated Mar 14, 2018

Key facts

NPI
1306349568
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
4704316133 (MI)
Practice address
4493 N Main St
Stockbridge, MI 49285-9759
Phone
(517) 795-7827
NPI assigned
Mar 14, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
4704316133MIMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4704316133 MI Yes

Addresses

Primary practice location

4493 N Main St
Stockbridge, MI 49285-9759

Mailing address

4493 N Main St
Stockbridge, MI 49285-9759
Phone (517) 795-7827

Other providers in Stockbridge, MI

All providers in Stockbridge, MI · Registered Nurse in Michigan

Sources for this page

Verify at the official NPI Registry.