JEREMIAH ROSS AGACNP-BC NPI 1669068581

NPI Information

Jeremiah Ross, AGACNP-BC is an acute care nurse practitioner in Dallas, TX with 4 years of experience. Jeremiah Ross, AGACNP-BC NPI is 1669068581. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3500 GASTON AVE
DALLAS, TX
ZIP 75246-017
Phone: (214) 820-0111

The NPI 1669068581 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/15/2020 and was last updated on 12/15/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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