| Doctor Name: | JODI LYNN ROSEN |
| NPI Number: | 1134541824 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 438120 |
| Business Practice Address: | 25503 Hardy Pl Stevenson Ranch, CA - 913811584 |
| Business Phone Number: | 6616445595 |
| Business Fax Number: | |
| Mailing Address: | 25503 Hardy Pl, STEVENSON RANCH |
| State: | CA |
| Postal Code: | 913811584 |
| Phone Number: | 6616445595 |
| Fax Number: | |
| NPI Enumeration Date: | 01/14/2014 |
| NPI Last Update Date: | 01/14/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WL0100X |
| License Number: | 438120 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Lactation Consultant |
| Taxonomy Definition: | |