Individual
JENNIFER GAIL ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
72 JACQUES AVE, WORCESTER, MA 01610-2476
(508) 860-1000
Mailing address
130 W VAN DORN AVE, HOLLY SPRINGS, MS 38635-2902
(662) 274-3212
(662) 274-3213
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
903385
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2362912
MA
Other
Enumeration date
06/25/2019
Last updated
05/16/2025
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