Provider Demographics
NPI:1992557573
Name:ROZIER, JESSICA DESHA
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:DESHA
Last Name:ROZIER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 STATION WAY STE 1
Mailing Address - Street 2:
Mailing Address - City:WARNER ROBINS
Mailing Address - State:GA
Mailing Address - Zip Code:31088-1966
Mailing Address - Country:US
Mailing Address - Phone:478-342-3702
Mailing Address - Fax:
Practice Address - Street 1:205 STATION WAY
Practice Address - Street 2:
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31088-1966
Practice Address - Country:US
Practice Address - Phone:478-342-3702
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-04
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No156F00000XEye and Vision Services ProvidersTechnician/Technologist
No251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive Care
No253J00000XAgenciesFoster Care Agency
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No385H00000XRespite Care FacilityRespite Care