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

Jenica M Rose-Stine, DO

Individual provider Pediatrics Physician · NPI 1174735872

Jenica M Rose-Stine, DO is a Pediatrics Physician in Willow Park, Texas. Licensed in Texas. Registered with an NPI since 2007.

Licensed in
TX
In the registry since
2007
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

136 El Chico Trl Ste 102
Willow Park, TX 76087-8864
Phone: (817) 441-5412
Fax: (817) 441-9354
Show map & directions

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence M8294 (TX)

Record details

NPI number1174735872
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 4, 2007
Last updated in NPPESApril 19, 2021
Certification dateApril 19, 2021

Other providers in Willow Park