Jordan Docusen, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2026048782 Issued in MO

Practice address

604 W 6TH St Ste a
Rolla, MO 65401-2968

Phone

(573) 364-9352

NPI assigned

Oct 7, 2026

Last updated

Oct 7, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1791331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791331200000",
    "number": "1770487175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 SWITCHBACK RD APT A",
            "city": "WAYNESVILLE",
            "state": "MO",
            "postal_code": "655834540",
            "telephone_number": "910-803-4067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 W 6TH ST STE A",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654012968",
            "telephone_number": "573-364-9352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOCUSEN",
        "first_name": "JORDAN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-07",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2026048782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather R. Derix, PSY.D.
• Dermatology Center, LLC
• Alec Deveney, AU.D.
• Cynthia G. Dicus, FNP
• Collin Dobson, CRNA
• Elizabeth C Dodd, D.O.
• Marek Domanski, MD
• Justin Lee Drake, BS.MS.ATC.LAT
• Randall G. Dudik, MD
• David Dumbach, DDS

• Family Nurse Practitioner in Rolla, MO
• Providers in Rolla, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.