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

Mr. Leonard A Rose Jr., CRNP

Individual provider Family Nurse Practitioner · NPI 1215562988

Mr. Leonard A Rose Jr., CRNP is a Nurse Practitioner in Madison, Alabama. Qualified in 2019, 7 years ago. Practices with Farouk a Raquib MD PC, a 5-clinician group. Licensed in Alabama.

Years since qualifying
7
Licensed in
AL
In the registry since
2020
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

600 Sun Temple Dr
Madison, AL 35758-8643
Phone: (256) 288-3333
Fax: (256) 288-3334
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1-074517 (AL)

Record details

NPI number1215562988
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNP
Sole proprietorNo
NPI enumeratedMarch 3, 2020
Last updated in NPPESMarch 3, 2020
Certification dateMarch 3, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Farouk A Raquib Md Pc — 5 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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