# MRS. J'LISA C ROSS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1538923636
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 374700000X | Technician | XT027978 | IN | — |
| 374U00000X | Home Health Aide | HHA1304206 | IN | — |
| 376K00000X | Nurse's Aide | CNA0803655 | IN | Yes |

## Other

- **Enumeration date:** 02/08/2024
- **Last updated:** 02/08/2024