Provider Demographics
NPI:1851127500
Name:ROST, JENNA
Entity type:Individual
Prefix:
First Name:JENNA
Middle Name:
Last Name:ROST
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 1:6088 MARSH CIR
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:45140-9268
Mailing Address - Country:US
Mailing Address - Phone:419-966-4418
Mailing Address - Fax:
Practice Address - Street 1:6088 MARSH CIR
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:OH
Practice Address - Zip Code:45140-9268
Practice Address - Country:US
Practice Address - Phone:419-966-4418
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-10
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula