IndividualActive
Jessica Rose, RN
NPI 1861028581 · General Practice Registered Nurse · Vail, AZ
Provider details
- NPI number
- 1861028581
- Entity type
- Individual
- Primary specialty
- General Practice Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 148950 (AZ)
Specialties & taxonomies
Nursing Service Providers
Practice location
584 E Blue Rock Way
Vail, AZ 85641-2270
Phone: (813) 451-9254
Approximate (ZIP-level) locationGet directions
Mailing address
584 E Blue Rock Way
Vail, AZ 85641-2270
Registry dates
- Enumerated
- 2020-03-13
- Last updated
- 2020-03-13
- Certified
- 2020-03-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.