Individual provider · Type 1 NPI

Jake Michael Rouse, DO

Military Health Care Provider · Jacksonville, FL

NPI number 1063105096 Active

Practice location

2080 Child St Dept 5000
Jacksonville, FL 32214-5000

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000XNone listed

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1063105096

Jake Michael Rouse, DO's National Provider Identifier is 1063105096, issued on May 26, 2023. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Jacksonville, FL. The record was last updated on Apr 22, 2024.