Carol Anne Ross, LPN
Individual provider Active NPI Licensed Practical Nurse · Jeromesville, OH
NPI 1376770321 · NPPES record last updated Jun 17, 2009
Key facts
- NPI
- 1376770321
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- PN133451 (OH)
- Practice address
- 177 N High St
Jeromesville, OH 44840-9701 - Phone
- (330) 465-9638
- NPI assigned
- Jun 17, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN133451 | OH | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN133451 | OH | Yes |
Addresses
Primary practice location
177 N High St
Jeromesville, OH 44840-9701
Mailing address
177 N High St
Jeromesville, OH 44840-9701
Phone (330) 465-9638
Other providers in Jeromesville, OH
- Tabitha S Maneese
- Amie Miceli-Layton
- Mohican Home Health
- Rebecca Sue Morehouse
- Linda Phillips
- Julie Rowe
- Nyla Summers
- Brianna Taylor
- Danielle Marie Thompson
- Bailey Webb
All providers in Jeromesville, OH · Licensed Practical Nurse in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 17, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.