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NPI Code Detail

MEDICARE: DR. JESSICA SHANNON ROSE PHARM.D.

MEDICARE:  DR. JESSICA SHANNON ROSE  PHARM.D.
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
1183500000XPharmacist40366TN
2183500000XPharmacist19348AL

General Provider Information

NPI Number : 1821433749
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JESSICA SHANNON ROSE PHARM.D.
Provider Business Mailing Address
First Line : 2806 SMITH SPRINGS RD
Second Line :
City : NASHVILLE
State : TN
Zip : 37217-4311
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2806 SMITH SPRINGS RD
Second Line :
City : NASHVILLE
State : TN
Zip : 37217-4311
Country : US
Telephone Number : 615-361-0182
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2013
Last Update Date : 07/05/2016

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Directions to “ DR. JESSICA SHANNON ROSE PHARM.D.” Practice Location

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