National Provider Identifier
Jordan James Woldeyes Brouk, FNP
Jordan James Woldeyes Brouk, FNP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Rochester, NY and a listed phone number of (585) 368-3031.
Profile Overview
- NPI
- 1952032153
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- June 20, 2022
- Last Updated
- June 20, 2022
Practice Location
- 55 Genesee St
- Rochester, NY 14611-3201
Phone: (585) 368-3031
Mailing Address
- 9 Charter Oaks Dr
- Pittsford, NY 14534-3151
Specialties
- Family Nurse Practitioner (363LF0000X)
Full Record
- NPI
- 1952032153
- Entity Type
- Individual
- Last Name
- Brouk
- First Name
- Jordan
- Middle Name
- James Woldeyes
- Credential
- FNP
- Mailing Street Address
- 9 Charter Oaks Dr
- Mailing City
- Pittsford
- Mailing State
- NY
- Mailing ZIP Code
- 14534-3151
- Mailing Country
- US
- Mailing Phone
- (585) 694-5214
- Practice Street Address
- 55 Genesee St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14611-3201
- Practice Country
- US
- Practice Phone
- (585) 368-3031
- Enumeration Date
- June 20, 2022
- Last Updated
- June 20, 2022
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- June 20, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X)