Individual provider · Type 1 NPI

Jessica L. Ross

Licensed Practical Nurse · Grandville, MI

NPI number 1730040049 Active

Practice location

3584 Fairlanes Ave SW Ste 2
Grandville, MI 49418-1583

Mailing address

532 S Union St
Sparta, MI 49345-1506

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X4703125941 (MI)

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.

13 other providers at this address

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About NPI 1730040049

Jessica L. Ross's National Provider Identifier is 1730040049, issued on Nov 18, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Grandville, MI. The record was last updated on Nov 18, 2025.