Ross, Jessica A
Ross, Jessica A is an individual health care provider with primary practice located at 2548 E Kenosha St , Broken Arrow OK 74014-6712. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Ross, Jessica A can be contacted via phone (618) 623-9089.Contact Information
Primary practice address
2548 E Kenosha St
Broken Arrow OK 74014-6712
Phone: (618) 623-9089
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X |
Profile Details
| NPI number | 1205365087 |
|---|---|
| LBN Legal business name | Ross, Jessica A |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2017 |
| Last updated | Jan 30th, 2026 - about 9 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205365087 | NPPES |
| Oklahoma | MEDICAID | 200323940 |
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