MR. JAHID KWAKU ROSS NURSE PRACTITIONER NPI 1013590280

NPI Information

NPI: 1013590280
Provider Name: MR. JAHID KWAKU ROSS, NURSE PRACTITIONER
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
175 GWINNETT DR
LAWRENCEVILLE, GA
ZIP 30046
Phone: (404) 209-2394
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MR. Jahid Kwaku Ross, NURSE PRACTITIONER is a family nurse practitioner in Lawrenceville, GA. MR. Jahid Kwaku Ross, NURSE PRACTITIONER NPI is 1013590280. 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:

175 GWINNETT DR
LAWRENCEVILLE, GA
ZIP 30046-444
Phone: (404) 209-2394

The enumeration date for this NPI number is 5/4/2021 and was last updated on 6/6/2023.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		95178036	CALIFORNIA	No
2	163W00000X	Registered Nurse		10.173173	CONNECTICUT	No
3	163WM0705X	Registered Nurse	Medical-Surgical	296511	NORTH CAROLINA	No
4	163WP0807X	Registered Nurse	Psychiatric/Mental Health, Child & Adolescent	296511	NORTH CAROLINA	No
5	363LF0000X	Nurse Practitioner	Family	95025461	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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