National Provider Identifier
Jordan Elizabeth Brock, RN
Jordan Elizabeth Brock, RN is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Rochester, NY and a listed phone number of (585) 442-8020.
Profile Overview
- NPI
- 1548012594
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- April 03, 2024
- Last Updated
- August 05, 2024
Practice Location
- 125 Lattimore RD Ste 258
- Rochester, NY 14620-4155
Phone: (585) 442-8020
Mailing Address
- 601 Elmwood Ave Box 668
- Rochester, NY 14642-0001
Specialties
- Family Nurse Practitioner (363LF0000X)
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1548012594
- Entity Type
- Individual
- Last Name
- Brock
- First Name
- Jordan
- Middle Name
- Elizabeth
- Credential
- RN
- Mailing Street Address
- 601 Elmwood Ave Box 668
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Practice Street Address
- 125 Lattimore RD Ste 258
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-4155
- Practice Country
- US
- Practice Phone
- (585) 442-8020
- Enumeration Date
- April 03, 2024
- Last Updated
- August 05, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- August 05, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X), Registered Nurse (163W00000X)