Individual
JENNY ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 MICHIGAN AVE, LOGANSPORT, IN 46947-1528
(574) 753-1549
(574) 753-1300
Mailing address
1281 W 500 S, PERU, IN 46970-7616
(765) 469-4158
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28227008A
IN
Other
Enumeration date
08/08/2022
Last updated
08/08/2022
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