Individual
MRS. JEANNA M ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
2338 W VAN WINKLE WAY STE 3300, PEORIA, IL 61615-7485
(309) 693-2020
Mailing address
2338 W VAN WINKLE WAY STE 3300, PEORIA, IL 61615-7485
(309) 693-2020
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209005204
IL
Other
Enumeration date
04/10/2006
Last updated
02/02/2025
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