Provider Demographics
NPI:1043087455
Name:ROGIER, JACOB (RN, CMSRN)
Entity type:Individual
Prefix:
First Name:JACOB
Middle Name:
Last Name:ROGIER
Suffix:
Gender:M
Credentials:RN, CMSRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7010 WHIPSAW PT
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78253-7239
Mailing Address - Country:US
Mailing Address - Phone:618-795-2092
Mailing Address - Fax:
Practice Address - Street 1:7010 WHIPSAW PT
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78253-7239
Practice Address - Country:US
Practice Address - Phone:618-795-2092
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-06
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1064152163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical