JENNIFER ANNE ROTTER


Address: 18101 Oakwood Blvd, Dearborn, MI 48124-4089
Phone: 5869445770

JENNIFER ANNE ROTTER (NPI# 1790382869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790382869
Entity Type Individual
Full Name JENNIFER ANNE ROTTER
Credential MSN, RN, AGCNS-BC
Practice Address 18101 Oakwood Blvd
Dearborn
MI 48124-4089
Mailing Address 30721 Marrocco Dr
Warren
MI 48088-5939
Practice Telephone 5869445770
Mailing Telephone 5869445770
Enumeration Date 2020-10-02
Last Update Date 2020-10-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 4704292651 MI Nursing Service Providers
Y 364S00000X Clinical Nurse Specialist 2019083191 MI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 18101 OAKWOOD BLVD
City DEARBORN
State MI
Zip Code 48124-4089

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578568036 Professional Emergency Care, P.C. Internal Medicine 18101 Oakwood Blvd, Emergency Medicine Department, Dearborn, MI 48124-4089 2005-06-20
1932706033 Janette Torrico-woo Registered Nurse 18101 Oakwood Blvd, Dearborn, MI 48124-4089 2020-10-02
1528665577 Nadia Farhat General Acute Care Hospital 18101 Oakwood Blvd, Dearborn, MI 48124-4089 2020-10-02
1992302053 Sara Marquardt Registered Nurse 18101 Oakwood Blvd, Dearborn, MI 48124-4089 2020-10-02
1184230054 Ashley Stoeckle Clinical Nurse Specialist 18101 Oakwood Blvd, Dearborn, MI 48124-4089 2020-09-16
1841802584 Lamise Mohana Registered Nurse 18101 Oakwood Blvd, Dearborn, MI 48124-4089 2020-08-22
1629687058 Samantha Ross Registered Nurse 18101 Oakwood Blvd, Dearborn, MI 48124-4089 2020-07-31
1114535499 Lauren E Krall Registered Nurse 18101 Oakwood Blvd, Dearborn, MI 48124-4089 2020-07-22
1649888959 Layale Makki Registered Nurse 18101 Oakwood Blvd, Dearborn, MI 48124-4089 2020-07-22
1376160960 Ahmed Abdelrahim Internal Medicine 18101 Oakwood Blvd, Dearborn, MI 48124-4089 2020-06-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396389524 Pharma A, LLC Pharmacy 23916 Michigan Ave, Dearborn, MI 48124 2019-10-31
1225683725 Aysha Said Behavior Technician 1369 Porter St, Dearborn, MI 48124 2019-08-02
1881257772 Leen Nusairat Internal Medicine Beaumont Health-dearborn Campus, 18101 Oakwood Blvd, Dearborn, MI 48124 2019-04-17
1417413360 Gary C. Veraghen, Dds, PC Dentist 22100 W. Outer Drive, Dearborn, MI 48124 2019-02-15
1982168787 Fnu Asma Manzar Physical Therapist Global Physical Therapy Services, Inc, 22819 Michigan Avenue, Dearborn, MI 48124 2019-01-25
1639640162 Jernia Lashawn Usher Behavior Technician 1360 Porter St Lower Level, Dearborn, MI 48124 2018-12-10
1710456470 Samar Fouad Hannawi Psychologist 3815 Pelham Street, Suite #13, Dearborn, MI 48124 2018-11-24
1881178747 Sarah Chehab Psychologist 835 Mason St Suite 220b, Dearborn, MI 48124 2018-09-17
1568948289 Ibrahim M Basma Pharmacist 22521 Michigan Avenue, Dearborn, MI 48124 2018-07-16
1669961942 Jacqueline E Domzalski Technician, Other 3231 S. Gulley, Suite E, Dearborn, MI 48124 2018-05-02
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Taxonomy Information

Taxonomy Code 364S00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist

Taxonomy Definition

A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration.
Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184230054 Ashley Stoeckle Clinical Nurse Specialist 18101 Oakwood Blvd, Dearborn, MI 48124-4089 2020-09-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1750934451 Chad R Galdys Clinical Nurse Specialist 251 Michigan St Ne # Mc018, Grand Rapids, MI 49503-2531 2019-07-22
1255983136 Ashley Perkins Clinical Nurse Specialist 100 Michigan St Ne # Mc191, Grand Rapids, MI 49503-2560 2019-07-11
1447850136 Jennifer Vincent Clinical Nurse Specialist 1215 E Michigan Ave, Lansing, MI 48912-1896 2020-10-30
1790391092 Ashley Voss Clinical Nurse Specialist 205 N East Ave, Jackson, MI 49201-1753 2020-09-22
1609480219 Amanda L Tomes Clinical Nurse Specialist 230 Michigan St Ne, Grand Rapids, MI 49503-2550 2020-09-01
1689204380 Sherry Lynn Werth Clinical Nurse Specialist 1215 E Michigan Ave, Lansing, MI 48912-1811 2020-01-22
1083263008 Rachel Justice Clinical Nurse Specialist 1215 E Michigan Ave, Lansing, MI 48912-1896 2019-09-11
1134773468 Stephanie C Mullennix Clinical Nurse Specialist 4100 Embassy Dr Se Ste 400, Grand Rapids, MI 49546-2416 2019-07-25
1144873845 Lisa Joy Mccann-spry Clinical Nurse Specialist 1840 Wealthy St Se, Grand Rapids, MI 49506-2921 2019-07-22
1578116273 Lynn Vanregenmorter Clinical Nurse Specialist 100 Michigan St Ne, Grand Rapids, MI 49503-2560 2019-07-22
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Competitor

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City DEARBORN
Zip Code 48124

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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