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

Jordyn Kennedy Rose

Individual provider Physician Assistant · NPI 1932079738

Jordyn Kennedy Rose is a Physician Assistant in Roanoke, Virginia. Qualified in 2025, 1 year ago. Works from 2 locations. Licensed in Virginia.

Years since qualifying
1
Licensed in
VA
In the registry since
2025

Practice location Address checks out

1906 Belleview Ave SE
Roanoke, VA 24014-1838
Phone: (540) 981-7000
Fax: (540) 985-6920
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 41 Williamsburg Dr, Fairport, NY 14450-9112 — (585) 749-6512

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110011489 (VA)

Record details

NPI number1932079738
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 6, 2025
Last updated in NPPESFebruary 24, 2026
Certification dateFebruary 24, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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