Individual provider · Type 1 NPI
Joel Rose
Psychiatric/Mental Health Nurse Practitioner · Dallas, TX
NPI number
1790505634
Active
Practice location
5406 Columbia Ave
Dallas, TX 75214-5120
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 1012631 (TX) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1790505634
Joel Rose's National Provider Identifier is 1790505634, issued on Oct 15, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Dallas, TX. The record was last updated on Oct 20, 2026.