| Mr Jarrod D Roussel, PA-C | |
|
315 Deaderick St Ste 1550, Nashville, TN 37238-3003 | |
| (888) 803-3370 | |
| (415) 779-8032 |
| Full Name | Mr Jarrod D Roussel |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 315 Deaderick St Ste 1550, Nashville, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538134721 | NPI | - | NPPES |
| KN153 | Other | FL | MEDICARE |
| 3720420 | Other | TN | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9110302 (Florida) | Secondary |
| 363A00000X | Physician Assistant | PA0000001012 (Tennessee) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jarrod D Roussel, PA-C 487 Meadow Lake Dr, Freeport, FL 32439-2356 Ph: (850) 400-4245 | Mr Jarrod D Roussel, PA-C 315 Deaderick St Ste 1550, Nashville, TN 37238-3003 Ph: (888) 803-3370 |
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