Individual ProviderJordanna RosselliPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1495 River Park Dr Ste 200, Sacramento, CA 95815-4517(916) 925-7020PECOS EnrollmentBased on the most recent information from CMS, provider Jordanna Rosselli does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1093476111Provider TypeIndividualFull NameRosselli, JordannaTitleMrs.CredentialPA-CGenderFemaleSole ProprietorNoEnumeration Date1/2/2022Last Updated10/26/2022Contact InformationPractice LocationPractice Address1495 River Park Dr Ste 200, Sacramento, CA 95815-4517Phone(916) 925-7020FaxUnlisted FaxMailing LocationMailing Address1495 River Park Dr Ste 200, Sacramento, CA 95815-4517Phone(916) 925-7020Fax(916) 925-3680Provider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted IssuerCode363AM0700XDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense60816California