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General NPI Number Information
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NPI Number | 1174810659
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Entity Type | Individual
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Provider Name | JEZEL E ROSA APRN
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Gender | Female
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Dates
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Enumeration Date | 07/05/2011
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Last Update Date | 01/01/2026
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Provider Practice Location Address
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Address Line | 9611 N US HIGHWAY 1 # 363
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City | SEBASTIAN
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State | FL
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Zip | 32958-6363
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Country | US
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Telephone | 786-751-2082
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Fax | 786-590-1944
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Provider Business Mailing Address
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Address Line | 9611 N US HIGHWAY 1 # 363
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City | SEBASTIAN
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State | FL
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Zip | 32958-6363
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Country | US
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Telephone | 786-751-2082
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Fax | 786-590-1944
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95406221
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | NP002610
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 72029
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License Number State | NM
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | SP031881
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1197802
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 51503
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License Number State | WY
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Taxonomy #7
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP70009299
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License Number State | WA
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Taxonomy #8
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN.CNP.0040663
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License Number State | OH
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Taxonomy #9
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 9386197
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License Number State | FL
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Taxonomy #10
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95034679
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License Number State | CA
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Taxonomy #11
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 30145
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License Number State | TN
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Taxonomy #12
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN11013721
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License Number State | FL
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