Individual
STEPHANIE JO ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2741 N 49TH ST, OMAHA, NE 68104-4407
(402) 926-1505
Mailing address
2741 N 49TH ST, OMAHA, NE 68104-4407
(402) 926-1505
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
206831
NE
Other
Enumeration date
10/09/2025
Last updated
10/09/2025
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