Individual
MRS. JILL M ROSSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
4605 COUNTRY CLUB RD, WINSTON SALEM, NC 27104-3519
(336) 782-1069
Mailing address
4605 COUNTRY CLUB RD, WINSTON SALEM, NC 27104-3519
(336) 768-3632
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5011290
NC
Other
Enumeration date
12/17/2018
Last updated
12/08/2025
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