Individual
JENNIFER CHRISTINE ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
7360-33
WI
363LA2200X
Adult Health Nurse Practitioner
7360-33
WI
363LG0600X
Gerontology Nurse Practitioner
7360-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972042315
—
WI
Enumeration date
02/17/2017
Last updated
10/01/2020
Update your record
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