Active NPI
Jean Elizabeth Ross, CRNP
- Family Nurse Practitioner
- Dothan, AL
National Provider Identifier
1750254462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-164924
- Practice address
- 208 Haven Dr
Dothan, AL 36301-2909 - Phone
- (334) 193-8196
- NPI assigned
- Sep 29, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-164924 | AL | Primary |
Addresses
Primary practice location
208 Haven Dr
Dothan, AL 36301-2909
Mailing address
482 Beaver Creek Rd
Dothan, AL 36303-9381
Phone (407) 595-6507
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-164924 | AL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759104000000",
"number": "1750254462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "482 BEAVER CREEK RD",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363039381",
"telephone_number": "407-595-6507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 HAVEN DR",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363012909",
"telephone_number": "334-193-8196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "JEAN",
"middle_name": "ELIZABETH",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-29",
"last_updated": "2025-09-29",
"certification_date": "2025-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-164924",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.