Individual
JESSICA RAE ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IP
Contact information
Practice address
10 FAIRGROUND RD, WINCHESTER, OH 45697-9499
(937) 798-9979
Mailing address
10 FAIRGROUND RD, WINCHESTER, OH 45697-9499
(937) 798-9979
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OH
3747P1801X
Personal Care Attendant
—
OH
374U00000X
Home Health Aide
—
OH
376J00000X
Homemaker
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0487170
—
OH
Enumeration date
04/13/2023
Last updated
04/18/2026
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