Individual ProviderJennifer RossonNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address501 20th St Ste 505, Knoxville, TN 37916(865) 546-0157PECOS EnrollmentBased on the most recent information from CMS, provider Jennifer Rosson is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1922595099Provider TypeIndividualFull NameRosson, JenniferCredentialFNPGenderFemaleSole ProprietorNoEnumeration Date4/15/2018Last Updated7/14/2021Contact InformationPractice LocationPractice Address501 20th St Ste 505, Knoxville, TN 37916Phone(865) 546-0157Fax(865) 374-2177Mailing LocationMailing Address501 20th St Ste 505, Knoxville, TN 37916-1869Phone(865) 546-0157Fax(865) 374-2177Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseRN233953GeorgiaProvider IdentifiersIDDescriptionIssuerIDQ066528DescriptionMedicaidIssuerUnlistedTennessee