Rogers, Jennifer Michelle

Rogers, Jennifer Michelle is an individual health care provider with primary practice located at 2210 Laurens Rd , Greenville SC 29607-3224. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Rogers, Jennifer Michelle can be contacted via phone (864) 630-6676.

Contact Information

Primary practice address
2210 Laurens Rd Greenville SC 29607-3224
Phone: (864) 630-6676
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F231 South Carolina

Profile Details

NPI number 1306841978
LBN Legal business name Rogers, Jennifer Michelle
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Oct 17th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306841978 NPPES
South Carolina MEDICAID NP0305

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