IndividualActive
Ethel Rose, MD
NPI 1376568568 · Neurology Physician · Jackson, MS
Provider details
- NPI number
- 1376568568
- Entity type
- Individual
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 09736 (MS)
Practice location
1500 E Woodrow Wilson Ave
Vamc, 127
Jackson, MS 39216-5116
Phone: (601) 364-1285
Fax: (601) 364-1257
Mailing address
1500 E. Woodrow Wilson Dr
Jackson, MS 39216-5116
Registry dates
- Enumerated
- 2006-07-12
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.