Individual provider · Type 1 NPI
Jordan Rose
Psychiatric/Mental Health Nurse Practitioner · Santa Rosa, CA
NPI number
1164095964
Active
Practice location
1287 Fulton Rd
Santa Rosa, CA 95401-4923
Mailing address
PO Box 464
Mill Valley, CA 94942-0464
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 95224646 (CA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95025794 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
28 other providers at this address
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- Jessica Do, MFTMarriage & Family Therapist Santa Rosa, CA NPI 1427487461
- Jon Sterngold, MDGeneral Practice Physician Santa Rosa, CA NPI 1265664866
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About NPI 1164095964
Jordan Rose's National Provider Identifier is 1164095964, issued on Jul 20, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Santa Rosa, CA. The record was last updated on Jun 26, 2024.