| Doctor Name: | MRS. JAMIE ANN ROGERS |
| NPI Number: | 1396081360 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 28155150A |
| Business Practice Address: | 276 Manchester Ave Wabash, IN - 469921808 |
| Business Phone Number: | 2605633126 |
| Business Fax Number: | |
| Mailing Address: | 7297 W State Road 16, ROANN |
| State: | IN |
| Postal Code: | 469749559 |
| Phone Number: | 7654692579 |
| Fax Number: | |
| NPI Enumeration Date: | 12/20/2012 |
| NPI Last Update Date: | 12/20/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 28155150A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |