Individual
JESSICA L ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3584 FAIRLANES AVE SW STE 2, GRANDVILLE, MI 49418-1583
(616) 797-2124
Mailing address
532 S UNION ST, SPARTA, MI 49345-1506
(616) 302-4295
(616) 302-4295
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703125941
MI
Other
Enumeration date
11/18/2025
Last updated
11/18/2025
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