Jordan Rose, is a
Student In An Organized Health Care Education/training Program based in Nellis Afb, Nevada. Jordan Rose is licensed to practice in * (Not Available) (license number ) and his current practice location is
4700 Las Vegas Blvd N, Nellis Afb, Nevada. He can be reached at his office (for appointments etc.) via phone at
(702) 653-2273.
NPI number for Jordan Rose is 1538768114 and his current mailing address is 4700 Las Vegas Blvd N, Nellis Afb, Nevada. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1538768114.
Provider's Profile
| Full Name | Jordan Rose |
|---|
| Gender | Male |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 4700 Las Vegas Blvd N, Nellis Afb, Nevada |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1538768114
- Provider Enumeration Date: 10/23/2020
- Last Update Date: 04/02/2025
Medical Identifiers
Medical identifiers for Jordan Rose such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538768114 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jordan Rose is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jordan Rose,
4700 Las Vegas Blvd N,
Nellis Afb, NV 89191-6600
Ph: () - | Jordan Rose,
4700 Las Vegas Blvd N,
Nellis Afb, NV 89191-6600
Ph: (702) 653-2273 |
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