Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jennifer Gail Ross, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1164083747

Jennifer Gail Ross, PMHNP-BC is a Nurse Practitioner in Worcester, Massachusetts. Qualified in 2019, 7 years ago. Practices with Koann Therapeutic Services Inc, a 10-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts and Mississippi.

Years since qualifying
7
Licensed in
MA, MS
In the registry since
2019
Specialties on file
2
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

72 Jacques Ave
Worcester, MA 01610-2476
Phone: (508) 860-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 340 Stateline Rd W, Southaven, MS 38671-1610 — (662) 510-5387
  • 845 N Main St Ste L1b, Providence, RI 02904-5775 — (401) 648-7172

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence RN2362912 (MA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 903385 (MS)

Record details

NPI number1164083747
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorYes
NPI enumeratedJune 25, 2019
Last updated in NPPESMay 16, 2025
Certification dateMay 16, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Koann Therapeutic Services Inc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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