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

Individual provider Family Nurse Practitioner · NPI 1710577960

Rosella Dawn Jordan, APRN is a Nurse Practitioner in Grayson, Kentucky. Qualified in 2020, 6 years ago. Practices with Lewis County Primary Care Center, Inc, a 88-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
6
Licensed in
KY
In the registry since
2021
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

645 Interstate Dr
Grayson, KY 41143-1704
Phone: (606) 474-0669
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 750 S Highway 3, Louisa, KY 41230-6686 — (606) 369-1149

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 3015719 (KY)

Record details

NPI number1710577960
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorYes
NPI enumeratedJanuary 21, 2021
Last updated in NPPESAugust 1, 2022
Certification dateJuly 5, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Lewis County Primary Care Center, Inc — 88 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Grayson