Ross, Jeanna M

Ross, Jeanna M is an individual health care provider with primary practice located at 5401 N Knoxville Ave Ste 207 , Peoria IL 61614-5021. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Ross, Jeanna M can be contacted via phone (309) 692-0400.

Contact Information

Primary practice address
5401 N Knoxville Ave Ste 207 Peoria IL 61614-5021
Phone: (309) 692-0400
Fax: (309) 692-2804
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209005204 Illinois

Profile Details

NPI number 1922061043
LBN Legal business name Ross, Jeanna M
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Apr 11th, 2011 - about 13 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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