JENNIFER GAIL ROSS (NPI# 1164083747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164083747 |
Entity Type | Individual |
Full Name | JENNIFER GAIL ROSS |
Credential | PMHNP-BC |
Practice Address |
340 Stateline Rd W Southaven MS 38671-1610 |
Mailing Address |
130 W Van Dorn Ave Holly Springs MS 38635-2902 |
Practice Telephone | 6625105387 |
Mailing Telephone | 6622743212 |
Mailing Fax Number | 6622743213 |
Enumeration Date | 2019-06-25 |
Last Update Date | 2020-03-03 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
903385 | MS | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215563572 | Jennifer Fuller Ross | Registered Nurse | 3481 Six Mile Hwy, Central, SC 29630-9526 | 2020-03-19 |
1932764594 | Jennifer Ross | Contractor | 1499 Newman Ave, Lakewood, OH 44107-5117 | 2019-05-08 |
1801375217 | Jennifer Ross | Midwife | 360 Middle Rd, Dover, NH 03820-4905 | 2018-08-08 |
1235535683 | Jennifer Dawn Ross | Massage Therapist | 560 29 1/2 Rd Apt 206, Grand Junction, CO 81504-3904 | 2014-11-12 |
1629478508 | Jennifer Ross | Speech-Language Pathologist | 31 Terrace Dr, Vancouver, WA 98661-5774 | 2014-08-28 |
1104242684 | Jennifer Ross | Specialist/Technologist, Other | 6082 Stoney Ridge Rd, North Ridgeville, OH 44039-1215 | 2014-03-09 |
1770835498 | Jennifer A Ross | Registered Nurse | 10055 166th Ave Ne, Redmond, WA 98052-3010 | 2012-10-04 |
1972835163 | Jennifer Calloway Ross | Counselor | 691 Sierra Rose Dr, Suite B, Reno, NV 89511-4000 | 2010-02-12 |
1578899522 | Jennifer Heather Ross | Counselor | 319 Vine St, Philadelphia, PA 19106-1122 | 2009-10-27 |
1164666137 | Jennifer Ross | Social Worker | 50 Parkway Dr, Dobbs Ferry, NY 10522-3517 | 2009-04-21 |
Street Address |
340 STATELINE RD W |
City | SOUTHAVEN |
State | MS |
Zip Code | 38671-1610 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700088085 | Kallol Kumar Saha | Family Medicine | 340 Stateline Rd W, Southaven, MS 38671-1610 | 2007-05-31 |
1851916837 | Amanda Folsom | Nurse Practitioner | 340 Stateline Rd W, Southaven, MS 38671-1610 | 2020-06-15 |
1659990075 | Addiction Campuses Professional Services of Mississippi, LLC | Psychiatry & Neurology | 340 Stateline Rd W, Southaven, MS 38671-1610 | 2020-04-15 |
1831728583 | Treneise Hunt-smith | Nurse Practitioner | 340 Stateline Rd W, Southaven, MS 38671-1610 | 2020-04-05 |
1073035168 | Jerry D Williams II | Nurse Practitioner | 340 Stateline Rd W, Southaven, MS 38671 | 2017-07-11 |
1356703524 | Addiction Campuses of Mississippi, LLC | Substance Abuse Rehabilitation Facility | 340 Stateline Rd W, Southaven, MS 38671-1610 | 2016-03-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285196196 | Emma Tinsley-bowles Long | Social Worker | 8786 Northcreek Blvd, Bldg 8 Apt 3, Southaven, MS 38671 | 2019-04-01 |
1851847586 | Tiffany Lashea Jones | Adult Companion | 8755 Millbranch Road, Southaven, MS 38671 | 2016-09-01 |
1538526140 | Desoto Pediatric Extended Care LLC | Skilled Nursing Facility | 750 Stateline Road East, Southhaven, MS 38671 | 2016-01-27 |
1073983052 | Tara Burt | Physical Therapist | 7900 Airways Blvd. Building A, Suite 2, Southaven, MS 38671 | 2015-10-02 |
1295160463 | Ideal Community Care,llc | In Home Supportive Care | 8869 Centre Str #3, Southaven, MS 38671 | 2013-09-06 |
1578995692 | Gregory Charles Eakins Jr. | Optometrist | 338 Goodman Rd West, Southaven, MS 38671 | 2013-07-31 |
1295173169 | Erica R. Martin | Social Worker | 975 Swinnea Rdg Ste 3, Southaven, MS 38671 | 2013-06-12 |
1386918431 | Freds Stores of Tennessee Inc | Pharmacy | 710 Church Road, Southaven, MS 38671 | 2012-03-06 |
1740565613 | Mary Jeanette Scruggs | Pharmacist | 1011 Goodman Rd, Southaven, MS 38671 | 2011-10-11 |
1184919268 | First Pharmacy Services 5 | Pharmacy | 5185a Getwell Rd, Southaven, MS 38671 | 2011-06-16 |
Find all providers in zip 38671 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336770015 | Jamie Alise Mcfarland | Nurse Practitioner | 8752 Cat Tail Dr, Southaven, MS 38671-5072 | 2020-01-30 |
1235619206 | Tracy Ellis Burns | Nurse Practitioner | 5699 Getwell Rd Bldg H1, Southaven, MS 38672-7311 | 2018-08-18 |
1225646110 | Tabitha Flowers Arrington | Nurse Practitioner | 5915 Getwell Rd Bldg B, Southaven, MS 38672-6455 | 2020-07-17 |
1851916837 | Amanda Folsom | Nurse Practitioner | 340 Stateline Rd W, Southaven, MS 38671-1610 | 2020-06-15 |
1063976983 | Collietta Bassett | Nurse Practitioner | 5185 Getwell Rd, Southaven, MS 38671-9691 | 2019-01-24 |
1649753161 | Tanisha Martin | Nurse Practitioner | 8626 Airways Blvd, Southaven, MS 38671-2603 | 2018-09-11 |
1760902712 | Katelyn Lee Conner | Nurse Practitioner | 6880 Cobblestone Blvd Ste 2, Southaven, MS 38672 | 2017-06-21 |
1578913885 | In Focus Psychiatry LLC | Nurse Practitioner | 6880 Cobblestone Blvd Ste 2, Southaven, MS 38672-9313 | 2016-06-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548861909 | Sheila Ruth Cater Murphy | Nurse Practitioner | 761 Ripley Ave, 761 Ripley Ave, Ashland, MS 38603 | 2020-11-03 |
1376157487 | Rebekah N Stallworth | Nurse Practitioner | 5200 Griffin St, Moss Point, MS 39563-2020 | 2020-09-04 |
1588278006 | Shayla Lee | Nurse Practitioner | 665 S Pear Orchard Rd Ste 106-591, Ridgeland, MS 39157-4861 | 2020-09-02 |
1093329633 | Mary Lindsey Lumley | Nurse Practitioner | 620 Hwy 51, Brookhaven, MS 39601 | 2020-09-01 |
1548874159 | Susan Me'chelle Oliver | Nurse Practitioner | 874 Barnes Crossing Road, Tupelo, MS 38804 | 2020-09-01 |
1093325409 | Justin Robert Ragon | Nurse Practitioner | 40 Roosters Ln, Carriere, MS 39426-7022 | 2020-07-31 |
1467078220 | Scott Drennan | Nurse Practitioner | 2105 Sandalwood Pl, Gautier, MS 39553-7705 | 2020-06-17 |
1811511819 | Aretha M. Northington | Nurse Practitioner | 1430 Wingfield Dr., Jackson, MS 39204-4448 | 2020-06-04 |
1942840996 | Cocetha Belton | Nurse Practitioner | 201 Copper Ridge Way, Florence, MS 39073-4601 | 2020-01-07 |
1457998965 | Katie Mae Spann | Nurse Practitioner | 1510 Hawthorne Pl, Clinton, MS 39056-3911 | 2019-12-03 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.