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

Jennifer Kay Rose, MD

Individual provider Family Medicine Physician · NPI 1942640438

Jennifer Kay Rose, MD is a Family Practice in Carbondale, Illinois. Graduated from Southern Illinois University School of Medicine in 2012, 14 years ago. Practices with Southern Illinois Hospital Services, a 12-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
14
Trained at
Southern Illinois University School of Medicine
Licensed in
IL
In the registry since
2013
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

305 W Jackson St Ste 200
Carbondale, IL 62901-1474
Phone: (618) 536-6621
Fax: (618) 453-1102
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2553 Ken Gray Blvd, West Frankfort, IL 62896-4174 — (618) 932-3937

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036139795 (IL)

Record details

NPI number1942640438
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 27, 2013
Last updated in NPPESDecember 28, 2020
Certification dateDecember 28, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolSOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice Southern Illinois Hospital Services — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Carbondale