Individual provider · Type 1 NPI

Jahid Kwaku Ross, NURSE PRACTITIONER

Family Nurse Practitioner · Lawrenceville, GA

NPI number 1013590280 Active

Practice location

175 Gwinnett Dr
Lawrenceville, GA 30046-8444

Mailing address

2816 Raleigh Ave
Winston Salem, NC 27105-4734

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X95178036 (CA)
Registered Nurse 163W00000X10.173173 (CT)
Medical-Surgical Registered Nurse 163WM0705X296511 (NC)
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X296511 (NC)
Family Nurse Practitioner Primary 363LF0000X95025461 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1013590280

Jahid Kwaku Ross, NURSE PRACTITIONER's National Provider Identifier is 1013590280, issued on May 4, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lawrenceville, GA. The record was last updated on Jun 6, 2023.