Individual
MRS. J'LISA C ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3613 KERRY ANN WAY, JEFFERSONVILLE, IN 47130-8666
(502) 743-1301
Mailing address
3613 KERRY ANN WAY, JEFFERSONVILLE, IN 47130-8666
(502) 743-1301
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
XT027978
IN
374U00000X
Home Health Aide
HHA1304206
IN
376K00000X
Nurse's Aide
Primary
CNA0803655
IN
Other
Enumeration date
02/08/2024
Last updated
02/08/2024
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