Most Relevant Information
Provider Data
| NPI Number: | 1003175993 |
| Provider Name: | JENNIFER NICOLE ROSE D.O. |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | 2724 |
Most Important Dates
| Enumeration Date: | 05/11/2012 |
| Last Updated: | 09/20/2022 |
Provider Practice Location
1464 JEFFERSON ST N
LEWISBURG
WV
249011380
Practice Location Phone/Fax
| Phone: | 3046453220 |
| Fax: | 8444794545 |
Provider Mailing Location
1464 JEFFERSON ST N
LEWISBURG
WV
249011380
Provider Mailing Phone/Fax
| Phone: | 3046453220 |
| Fax: | 8444794545 |
Suggested EMR
Family Practice EMR