Individual
JASMINE ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3500 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4395
(215) 590-1000
Mailing address
7908 TABOR AVE, PHILADELPHIA, PA 19111-2655
(215) 589-5658
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP028874
PA
363LP0200X
Pediatric Nurse Practitioner
SP028874
PA
Other
Enumeration date
12/15/2023
Last updated
05/31/2025
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