Ross, Jeannie M

Ross, Jeannie M is an individual health care provider with primary practice located at 887 Congress St Suite 300, Portland ME 04102-3100. 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, Jeannie M can be contacted via phone (207) 662-5522.

Contact Information

Primary practice address
887 Congress St Suite 300 Portland ME 04102-3100
Phone: (207) 662-5522
Fax: (207) 662-5526
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R023443 Maine

Profile Details

NPI number 1437276094
LBN Legal business name Ross, Jeannie M
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2007
Last updated Oct 22nd, 2008 - about 16 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 1437276094 NPPES
Maine MEDICAID 244920099
Maine MEDICAID 30346655

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