Ross, Jacquelyn Christine

Ross, Jacquelyn Christine is an individual health care provider with primary practice located at 107 Berlin Rd , Cherry Hill NJ 08034-3526. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Ross, Jacquelyn Christine can be contacted via phone (856) 371-3949.

Contact Information

Primary practice address
107 Berlin Rd Cherry Hill NJ 08034-3526
Phone: (856) 371-3949
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 26NJ00908900 New Jersey

Profile Details

NPI number 1376003137
LBN Legal business name Ross, Jacquelyn Christine
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2019
Last updated Oct 29th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376003137 NPPES
New Jersey MEDICAID PENDING

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