Jeanette D Ross, PROVIDERENROLLMENT
Jeanette D Ross, PROVIDERENROLLMENT is a Homemaker in Ozark, Arkansas. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location PO Box
PO Box 1015Ozark, AR 72949-1015
Phone: (479) 209-6471
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Homemaker (primary) | Taxonomy 376J00000X |
|---|
Record details
| NPI number | 1700608684 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PROVIDERENROLLMENT |
| Sole proprietor | Yes |
| NPI enumerated | October 30, 2024 |
| Last updated in NPPES | October 30, 2024 |
| Certification date | October 30, 2024 |