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

Jessica Rose

Individual provider Pediatric Nurse Practitioner · NPI 1679101786

Jessica Rose is a Pediatric Nurse Practitioner in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2020.

Licensed in
PA
In the registry since
2020

Practice location Address checks out

1740 S St Ste 200
Philadelphia, PA 19146-1514
Phone: (215) 735-5600
Show map & directions

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

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence SP021412 (PA)

Record details

NPI number1679101786
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 1, 2020
Last updated in NPPESApril 1, 2020
Certification dateApril 1, 2020

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