MEDICARE: MRS. JAMILA DEVORA ROUSE FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	269886	NC
2	363LF0000X	Family Nurse Practitioner	5012888	NC

General Provider Information

NPI Number	:	1083245476
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JAMILA DEVORA ROUSE FNP

Provider Business Mailing Address
First Line	:	PO BOX 40908
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28309-0908
Country	:	US
Telephone Number	:	910-615-6949
Fax Number	:

Provider Business Practice Location Address
First Line	:	6387 RAMSEY ST UNIT 210
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28311-9442
Country	:	US
Telephone Number	:	910-615-3920
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/04/2020
Last Update Date	:	03/03/2026

Similar Medicare Providers

1003818485 — HERITAGE FAMILY PHYSICIANS
Practice Location Address:

6387 RAMSEY ST UNIT 210
FAYETTEVILLE, NC
28311-9442

Practice Phone: 910-615-3920
Practice Fax: 910-321-6221

1740256809 — DR. SYDNEY WELT MD
Practice Location Address:

6387 RAMSEY ST UNIT 140
FAYETTEVILLE, NC
28311-9442

Practice Phone: 910-615-3840
Practice Fax: 910-321-6216

1134162597 — CUMBERLAND COUNTY HOSPITAL SYSTEM INC
Practice Location Address:

6387 RAMSEY ST UNIT 100
FAYETTEVILLE, NC
28311-9442

Practice Phone: 910-609-3879
Practice Fax: 910-321-6219

1487812889 — EMMALEIGH MADELINE SMITH
Practice Location Address:

6387 RAMSEY ST UNIT 100
FAYETTEVILLE, NC
28311-9442

Practice Phone: 910-615-3879
Practice Fax:

1447416334 — ANUSHA REDDY MADADI MD
Practice Location Address:

6387 RAMSEY ST UNIT 140
FAYETTEVILLE, NC
28311-9442

Practice Phone: 910-615-3840
Practice Fax:

1750609582 — AVINASH PASAM MD
Practice Location Address:

6387 RAMSEY ST UNIT 140
FAYETTEVILLE, NC
28311-9442

Practice Phone: 910-615-3840
Practice Fax: 910-321-6216

Directions to “ MRS. JAMILA DEVORA ROUSE FNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.