Individual
JILL DENISE ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
468 CADIEUX RD, GROSSE POINTE, MI 48230-1507
(313) 473-1065
Mailing address
468 CADIEUX RD, GROSSE POINTE, MI 48230-1507
(313) 473-1065
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704201515
MI
363LF0000X
Family Nurse Practitioner
Primary
1878067
MI
Other
Enumeration date
08/18/2007
Last updated
04/20/2023
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