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:
Health care specialties
Specialty | Code | License # | 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 3 months 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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