IndividualActive
Rose Roosevelt, RN
NPI 1871754093 · Emergency Registered Nurse · Stone Mountain, GA
Provider details
- NPI number
- 1871754093
- Entity type
- Individual
- Primary specialty
- Emergency Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- 163WE0003X (GA)
Specialties & taxonomies
Nursing Service Providers
Practice location
5878 Southland Dr
Stone Mountain, GA 30087-5281
Phone: (404) 543-1199
Approximate (ZIP-level) locationGet directions
Mailing address
5878 Southland Dr
Stone Mountain, GA 30087-5281
Registry dates
- Enumerated
- 2008-06-19
- Last updated
- 2008-06-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.