Individual provider · Type 1 NPI

Marjorie Lynn Rosas, N.P.

Nurse Practitioner · Jackson, TN

NPI number 1609820679 Active

Practice location

708 W Forest Ave
Jackson, TN 38301-3901

Fax (731) 660-8739

Mailing address

1804 Highway 45 Byp, Suite 604
Jackson, TN 38305-4436

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAPN12029 (TN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1609820679

Marjorie Lynn Rosas, N.P.'s National Provider Identifier is 1609820679, issued on May 22, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Jackson, TN. The record was last updated on Jul 13, 2026.