Jordan, Rosella Dawn

Jordan, Rosella Dawn is an sole proprietor health care provider with primary practice located at 645 Interstate Dr , Grayson KY 41143-1704. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Jordan, Rosella Dawn can be contacted via phone (606) 474-0669.

Contact Information

Primary practice address
645 Interstate Dr Grayson KY 41143-1704
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3015719 Kentucky

Profile Details

NPI number 1710577960
LBN Legal business name Jordan, Rosella Dawn
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 21st, 2021
Last updated Aug 1st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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