Individual provider · Type 1 NPI
Jennica Lisette Rosa, NP-C
Family Nurse Practitioner · Fircrest, WA
NPI number
1174089965
Active
Practice location
1215 Regents Blvd Ste 2A
Fircrest, WA 98466-6061
Mailing address
3610 Bridgeport Way W Apt 501
University Place, WA 98466-4344
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | AP61341503 (WA) |
| Family Nurse Practitioner | 363LF0000X | AP140646 (TX) |
Family Nurse Practitioner: Definition to come...
About NPI 1174089965
Jennica Lisette Rosa, NP-C's National Provider Identifier is 1174089965, issued on Feb 16, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fircrest, WA. The record was last updated on Jul 24, 2026.