Provider Demographics
NPI:1972729432
Name:ROGERS, JENNIFER LEE (MD)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:LEE
Last Name:ROGERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6013 FARRINGTON RD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-8172
Mailing Address - Country:US
Mailing Address - Phone:919-966-4191
Mailing Address - Fax:919-843-7231
Practice Address - Street 1:6013 FARRINGTON RD
Practice Address - Street 2:SUITE 301
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517-8172
Practice Address - Country:US
Practice Address - Phone:919-966-4191
Practice Address - Fax:919-843-7231
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2014-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2008-00298207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine