IndividualActive
Jennica Rosa, NP-C
NPI 1174089965 · Family Nurse Practitioner · Ruston, WA
Provider details
- NPI number
- 1174089965
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP-C
- Sex
- Female
- Sole proprietor
- No
- License
- AP140646 (TX)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
5046 N Highland St
Ruston, WA 98407-3118
Phone: (210) 906-9658
Approximate (ZIP-level) locationGet directions
Mailing address
1210 Tacoma Ave S Apt 303
Tacoma, WA 98402-2020
Additional practice locations (1)
- 3551 Roger Brooke DrFort Sam Houston, TX 78234-4504Phone: (210) 906-9658
Registry dates
- Enumerated
- 2019-02-16
- Last updated
- 2024-09-09
- Certified
- 2024-09-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.