Rose, Jordan Prosser

Rose, Jordan Prosser is an individual health care provider with primary practice located at 1701 E Cotati Ave Student Health Center, Rohnert Park CA 94928-3612. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Medical-Surgical, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Rose, Jordan Prosser can be contacted via phone (707) 664-2921.

Contact Information

Primary practice address
1701 E Cotati Ave Student Health Center Rohnert Park CA 94928-3612
Phone: (707) 664-2921
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Medical-Surgical 163WM0705X 775622 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 21928 California

Profile Details

NPI number 1851658322
LBN Legal business name Rose, Jordan Prosser
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2012
Last updated Jul 15th, 2015 - about 9 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.

Request for update

Popular Providers