Provider Demographics
NPI:1437470028
Name:ROSO, JANA WROBLESKI (RN, MSN, CPNP)
Entity Type:Individual
Prefix:MRS
First Name:JANA
Middle Name:WROBLESKI
Last Name:ROSO
Suffix:
Gender:F
Credentials:RN, MSN, CPNP
Other - Prefix:MS
Other - First Name:JANA
Other - Middle Name:CHRISTINE
Other - Last Name:WROBLESKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, MSN, CPNP
Mailing Address - Street 1:2704 GRIMES RANCH RD
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78732-2012
Mailing Address - Country:US
Mailing Address - Phone:281-455-0230
Mailing Address - Fax:
Practice Address - Street 1:7200 WYOMING SPGS
Practice Address - Street 2:SUITE 200
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-4303
Practice Address - Country:US
Practice Address - Phone:512-244-5959
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-17
Last Update Date:2014-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QP2300X
TX746860363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care