Individual provider · Type 1 NPI
Jessica Elizabeth Rough
Pediatric Nurse Practitioner · Orangeburg, NY
NPI number
1467114306
Active
Practice location
30 Ramland Rd S Ste 200A
Orangeburg, NY 10962-2626
Fax (845) 359-3414
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | F347757 (NY) |
Pediatric Nurse Practitioner: Definition to come...
3 other providers at this address
About NPI 1467114306
Jessica Elizabeth Rough's National Provider Identifier is 1467114306, issued on Oct 7, 2021. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Orangeburg, NY. The record was last updated on Mar 23, 2025.