Provider / Organization | NPI | Date Certified |
---|---|---|
JILLIAN DENISE ROSS | 1043957780 | 2022-05-15 |
Jillian Denise Ross is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1043957780. Registration indicates Jillian Denise Ross is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
Entity Type | Individual |
Provider Name | Dr. Jillian Denise Ross MD |
Practice Office Address | 3800 RESERVOIR RD NW WASHINGTON, DC US |
Practice Office Telephone | 2024448168 |
Mailing Address | 3800 RESERVOIR RD NW WASHINGTON, DC 200072113 US |
Business Telephone | 2024448168 |
Code | Practice | License No State |
---|---|---|
390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |