Rose, Jordan

Rose, Jordan is an individual health care provider with primary practice located at 301 Fisher St , Biloxi MS 39534-2508. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Student, Health Care / Student in an Organized Health Care Education/Training Program. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Rose, Jordan can be contacted via phone (228) 376-0441.

Contact Information

Primary practice address
301 Fisher St Biloxi MS 39534-2508
Phone: (228) 376-0441
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1538768114
LBN Legal business name Rose, Jordan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2020
Last updated Jun 1st, 2022 - about 3 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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