Provider Demographics
NPI:1275976920
Name:ROUGEE, JESSICA (RN, APRN, RX, NP-C)
Entity Type:Individual
Prefix:MS
First Name:JESSICA
Middle Name:
Last Name:ROUGEE
Suffix:
Gender:F
Credentials:RN, APRN, RX, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94-364 HOKUALA ST
Mailing Address - Street 2:#184
Mailing Address - City:MILILANI
Mailing Address - State:HI
Mailing Address - Zip Code:96789-2348
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:94-364 HOKUALA ST
Practice Address - Street 2:#184
Practice Address - City:MILILANI
Practice Address - State:HI
Practice Address - Zip Code:96789-2348
Practice Address - Country:US
Practice Address - Phone:808-206-6878
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-12
Last Update Date:2013-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIAPRN-1532363LF0000X
HIRX-502363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily