IndividualActive
Anne Rose, FNP
NPI 1942754767 · Nurse Practitioner · Carbondale, IL
Provider details
- NPI number
- 1942754767
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- License
- 209014499 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
305 W Jackson St Ste 301
Carbondale, IL 62901-1474
Phone: (618) 351-9300
Fax: (618) 351-9307
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 3988
Carbondale, IL 62902-3988
Registry dates
- Enumerated
- 2016-08-10
- Last updated
- 2022-03-24
- Certified
- 2022-03-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.