Individual
JACOB ROBERT ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
2451 INTELLIPLEX DR, SHELBYVILLE, IN 46176-8535
(317) 421-5671
(765) 247-7619
Mailing address
2451 INTELLIPLEX DR, SHELBYVILLE, IN 46176-8535
(317) 421-5671
(765) 247-7619
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28180337A
IN
Other
Enumeration date
07/13/2026
Last updated
07/13/2026
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