Provider Demographics
NPI:1225848377
Name:ROGERS, JERMEKA C
Entity type:Individual
Prefix:
First Name:JERMEKA
Middle Name:C
Last Name:ROGERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 E ARBOR AVE APT 302E
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58504-5736
Mailing Address - Country:US
Mailing Address - Phone:701-831-7482
Mailing Address - Fax:
Practice Address - Street 1:201 E ARBOR AVE APT 302E
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58504-5736
Practice Address - Country:US
Practice Address - Phone:701-831-7482
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-10
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No376J00000XNursing Service Related ProvidersHomemaker
No372600000XNursing Service Related ProvidersAdult Companion