Individual provider · Type 1 NPI
Rosetta Mamie Jordan
Psychiatric/Mental Health Nurse Practitioner · Washington, DC
NPI number
1942934666
Active
Practice location
5255 Loughboro Rd NW
Washington, DC 20016-2633
Mailing address
6201 Greenleigh Ave
Middle River, MD 21220-2004
Other practice locations
- 7183 Talisman Ln, Columbia, MD 21045-4826 · (240) 533-7268
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R197037 (MD) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | NP1024215 (DC) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1942934666
Rosetta Mamie Jordan's National Provider Identifier is 1942934666, issued on Jul 11, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Washington, DC. The record was last updated on Apr 21, 2023.