Individual
MRS. JENNIFER L ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
18101 OAKWOOD BLVD, DEARBORN, MI 48124-4089
(734) 341-2740
Mailing address
26901 BEAUMONT BLVD # 3D, SOUTHFIELD, MI 48033-3849
(947) 522-1922
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704230656
MI
Other
Enumeration date
07/15/2014
Last updated
05/25/2023
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