Individual provider · Type 1 NPI

Jordan Docusen, FNP-C

Family Nurse Practitioner · Rolla, MO

NPI number 1770487175 Active

Practice location

604 W 6th St Ste A
Rolla, MO 65401-2968

Call (573) 364-9352 Map

Mailing address

113 Switchback Rd Apt A
Waynesville, MO 65583-4540

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X2026048782 (MO)

Family Nurse Practitioner: Definition to come...

2 other providers at this address

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About NPI 1770487175

Jordan Docusen, FNP-C's National Provider Identifier is 1770487175, issued on Oct 7, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Rolla, MO. The record was last updated on Oct 7, 2026.