Individual provider · Type 1 NPI

Mariah Quenette Rose, ARNP

Nurse Practitioner · Jacksonville, FL

NPI number 1831464601 Active

Practice location

4500 San Pablo Rd S
Jacksonville, FL 32224-1865

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice locations

  • 200 Hawthorne Ln, Charlotte, NC 28204-2515 · (704) 384-5416

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XARNP9323254 (FL)
Nurse Practitioner Primary 363L00000X5013934 (NC)

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 1831464601

Mariah Quenette Rose, ARNP's National Provider Identifier is 1831464601, issued on Mar 13, 2012. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Jacksonville, FL. The record was last updated on Oct 15, 2026.