JORDAN PROSSER ROSE FNP
NPI 1851658322
Nurse Practitioner - Family in Rohnert Park, CA

Q: What is Jordan Rose's NPI number?

The NPI number for Jordan Rose is 1851658322. It was assigned to this individual provider in the NPPES registry on April 20, 2012.

Q: What is Jordan Rose's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Rose was last updated on July 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 20, 2012

1701 E COTATI AVE, STUDENT HEALTH CENTER, ROHNERT PARK, CA 94928(707) 664-2921 Get Directions Write a Review

NPPES record last updated: July 15, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jordan Prosser Rose Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JORDAN PROSSER ROSE FNP (NPI 1851658322) is an individual family provider in Rohnert Park, California, licensed in California (21928) and active in the NPI registry since April 2012.

NPPES Registry Identity

NPI1851658322

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameJORDAN PROSSER ROSECredential: FNP

Location Address1701 E COTATI AVE, STUDENT HEALTH CENTERRohnert Park, CA 94928-3612

Mailing Address1701 E Cotati Ave, Student Health CenterRohnert Park, CA 94928-3612 · (707) 664-2921

Phone(707) 664-2921

Sole ProprietorNo

Enumeration DateApril 20, 2012

Last NPPES UpdateJuly 15, 2015

✔ NPI 1851658322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 21928

Also ListedRegistered Nurse · Medical-SurgicalTaxonomy 163WM0705X · License 775622 (CA)

1701 E COTATI AVE, Rohnert Park, CA 94928

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jordan Rose's NPI number?

The NPI number for Jordan Rose is 1851658322. It was assigned to this individual provider in the NPPES registry on April 20, 2012.

Where is Jordan Rose located?

Jordan Rose practices at 1701 E Cotati Ave Student Health Center, Rohnert Park, CA 94928. The listed phone number is (707) 664-2921.

What is Jordan Rose's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Jordan Rose was last updated on July 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.