Rose, Jordan

Rose, Jordan is an individual health care provider with primary practice located at 1287 Fulton Rd , Santa Rosa CA 95401-4923. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Rose, Jordan can be contacted via phone (707) 800-7700.

Contact Information

Primary practice address
1287 Fulton Rd Santa Rosa CA 95401-4923
Phone: (707) 800-7700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 95224646 California
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95025794 California

Profile Details

NPI number 1164095964
LBN Legal business name Rose, Jordan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2021
Last updated Jun 26th, 2024 - about 2 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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