Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jennifer A Rose, MD

Individual provider Pediatrics Physician · NPI 1063730943

Dr. Jennifer A Rose, MD is a Pediatrics Physician in Kingsport, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2010
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

3616 Netherland Inn Rd Ste 6
Kingsport, TN 37660-7296
Phone: (423) 403-3258
Fax: (423) 295-9626
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 49880 (TN)

Record details

NPI number1063730943
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 17, 2010
Last updated in NPPESJune 17, 2024
Certification dateJune 17, 2024

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