Rebekah Kathleen Rossetta
Nurse Practitioner - Pediatrics
629 Nuckolls Rd
Bolivar
, Tennessee 38008-1599
Rebekah Kathleen Rossetta
Nurse Practitioner - Pediatrics
629 Nuckolls Rd
Bolivar
, Tennessee 38008-1599
(541) 864-9405
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Rebekah Kathleen Rossetta
- 209 Wells St Apt 104
- Jackson, TN
- Zip : 38301-6348
- Phone : (541) 864-9405
Second Address
- Rebekah Kathleen Rossetta
- 629 Nuckolls Rd
- Bolivar, TN
- Zip : 38008-1599
- Phone : (731) 658-3388
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | 24870 | TN |
National Provider Identifier
| NPI | 1003381815 |
|---|---|
| Provider Name | Rebekah Kathleen Rossetta |
| First Address | Jackson, TN 38301-6348 |
| Second Address | Bolivar, TN 38008-1599 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/10/2018 |
| Last Update Date | 14/10/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.