Individual provider · Type 1 NPI
Carmellia Ross, LPN
Licensed Practical Nurse · Syracuse, NY
NPI number
1629902184
Active
Practice location
620 Madison St
Syracuse, NY 13210-2338
Mailing address
227 Garson Ave
Rochester, NY 14609-6230
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 334170 (NY) |
Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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About NPI 1629902184
Carmellia Ross, LPN's National Provider Identifier is 1629902184, issued on Jun 10, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Syracuse, NY. The record was last updated on Jun 11, 2026.