Provider Demographics
NPI:1326507880
Name:JHA, ROSEY
Entity Type:Individual
Prefix:
First Name:ROSEY
Middle Name:
Last Name:JHA
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 1:2725 COUNTRY CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-4429
Mailing Address - Country:US
Mailing Address - Phone:757-362-7072
Mailing Address - Fax:
Practice Address - Street 1:2725 COUNTRY CHURCH RD
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-4429
Practice Address - Country:US
Practice Address - Phone:757-362-7072
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-14
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX906916163W00000X
TX1159852363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health