Provider Demographics
NPI:1114809662
Name:JOSE, JOHN PAUL (RN)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:PAUL
Last Name:JOSE
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:617 ROCKCASTLE DR
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27519-2601
Mailing Address - Country:US
Mailing Address - Phone:919-334-8984
Mailing Address - Fax:
Practice Address - Street 1:617 ROCKCASTLE DR
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27519-2601
Practice Address - Country:US
Practice Address - Phone:919-334-8984
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-24
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC257801163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine