Doctor Name: | JESSICA JANE ROTHROCK |
NPI Number: | 1063738144 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, BSN, COCN |
License Number: | 337947 |
Business Practice Address: | 911 Township Road 2506 Perrysville, OH - 448649713 |
Business Phone Number: | 2566134867 |
Business Fax Number: | |
Mailing Address: | 911 Township Road 2506, PERRYSVILLE |
State: | OH |
Postal Code: | 448649713 |
Phone Number: | 2566134867 |
Fax Number: | |
NPI Enumeration Date: | 04/14/2010 |
NPI Last Update Date: | 04/14/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WH0200X |
License Number: | 337947 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Home Health |
Taxonomy Definition: |