| Doctor Name: | MS. LEONA CAROL ROSE |
| NPI Number: | 1275805202 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | 1-105688 |
| Business Practice Address: | 1080 2nd St Cherokee, AL - 356167328 |
| Business Phone Number: | 2563594519 |
| Business Fax Number: | 2563594516 |
| Mailing Address: | Po Box 2587, MUSCLE SHOALS |
| State: | AL |
| Postal Code: | 356622587 |
| Phone Number: | 2563834473 |
| Fax Number: | 2563815232 |
| NPI Enumeration Date: | 02/07/2012 |
| NPI Last Update Date: | 08/11/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | 1-105688 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |