Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jordan Katsumi Kruse, RN, FNP

Individual provider General Practice Registered Nurse · NPI 1154204378

Jordan Katsumi Kruse, RN, FNP is a General Practice Registered Nurse in Willits, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

1245 S Main St
Willits, CA 95490-4305
Phone: (760) 496-8102
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 95030155 (CA)
General Practice Registered Nurse Taxonomy 163WG0000X · Licence 95135914 (CA)

Record details

NPI number1154204378
Entity typeIndividual (Type 1)
GenderMale
Credentials RN , FNP
Sole proprietorNo
NPI enumeratedJuly 26, 2025
Last updated in NPPESJuly 26, 2025
Certification dateJuly 26, 2025

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