JORDAN PROSSER ROSE FNP NPI 1851658322

NPI Information

NPI: 1851658322
Provider Name: JORDAN PROSSER ROSE, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1701 E COTATI AVE
STUDENT HEALTH CENTER
ROHNERT PARK, CA
ZIP 94928
Phone: (707) 664-2921
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Jordan Prosser Rose, FNP is a family nurse practitioner in Rohnert Park, CA. Jordan Prosser Rose, FNP NPI is 1851658322. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1701 E COTATI AVE
STUDENT HEALTH CENTER
ROHNERT PARK, CA
ZIP 94928-612
Phone: (707) 664-2921

The NPI 1851658322 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 4/20/2012 and was last updated on 7/15/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WM0705X	Registered Nurse	Medical-Surgical	775622	CALIFORNIA	No
2	363LF0000X	Nurse Practitioner	Family	21928	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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