Individual provider · Type 1 NPI

Jasmine Ross

Nurse Practitioner · Philadelphia, PA

NPI number 1124896436 Active

Practice location

3500 Civic Center Blvd
Philadelphia, PA 19104-4395

Mailing address

7908 Tabor Ave
Philadelphia, PA 19111-2655

Other practice locations

  • 100 Deerfield Ln Ste 110, Malvern, PA 19355-2100 · (610) 334-8341

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XSP028874 (PA)
Pediatric Nurse Practitioner 363LP0200XSP028874 (PA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1124896436

Jasmine Ross's National Provider Identifier is 1124896436, issued on Dec 15, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Philadelphia, PA. The record was last updated on May 31, 2025.