Individual provider · Type 1 NPI
Jeremiah Ross, AGACNP-BC
Acute Care Nurse Practitioner · Dallas, TX
NPI number
1669068581
Active
Practice location
3500 Gaston Ave
Dallas, TX 75246-2017
Mailing address
4835 Lbj Fwy Ste 900
Dallas, TX 75244-6001
Other practice locations
- 1508 Spenwick Ter, Dallas, TX 75204-5531 · (512) 460-0453
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 1006757 (TX) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1006757 (TX) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1669068581
Jeremiah Ross, AGACNP-BC's National Provider Identifier is 1669068581, issued on Dec 15, 2020. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Dallas, TX. The record was last updated on Sep 10, 2025.