Doctor Name: | MS. JESSICA ROUGEE |
NPI Number: | 1275976920 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N., APRN, RX, NP-C |
License Number: | RX-502 |
Business Practice Address: | 94-364 Hokuala St #184 Mililani, HI - 967892348 |
Business Phone Number: | 8082066878 |
Business Fax Number: | |
Mailing Address: | 94-364 Hokuala St, #184 MILILANI |
State: | HI |
Postal Code: | 967892348 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/12/2013 |
NPI Last Update Date: | 04/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RX-502 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | HI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |