Individual
MRS. JESSICA ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, NNP-BC
Contact information
Practice address
101 W PONCE DE LEON AVE, SUITE 242, DECATUR, GA 30030-2542
(404) 727-3236
(404) 778-7645
Mailing address
101 W PONCE DE LEON AVE, SUITE 242, DECATUR, GA 30030-2542
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
RN210831
GA
Other
Enumeration date
08/06/2010
Last updated
03/21/2012
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