Individual
MR. JAHID KWAKU ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(404) 209-2394
Mailing address
2816 RALEIGH AVE, WINSTON SALEM, NC 27105-4734
(336) 986-4623
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
10.173173
CT
163W00000X
Registered Nurse
95178036
CA
163WM0705X
Medical-Surgical Registered Nurse
296511
NC
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
296511
NC
363LF0000X
Family Nurse Practitioner
Primary
95025461
CA
Other
Enumeration date
05/04/2021
Last updated
06/06/2023
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