Ross, Jaclyn Renee

Ross, Jaclyn Renee is an individual health care provider with primary practice located at 1301 Pennsylvania Ave , Fort Worth TX 76104-2122. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Ross, Jaclyn Renee can be contacted via phone (817) 502-9918.

Contact Information

Primary practice address
1301 Pennsylvania Ave Fort Worth TX 76104-2122
Phone: (817) 502-9918
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 750528 Texas

Profile Details

NPI number 1497249023
LBN Legal business name Ross, Jaclyn Renee
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2018
Last updated Mar 2nd, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers