JEAN D. ROSS NP
NPI 1104862382
Nurse Practitioner in Fort Wayne, IN

Q: What is Jean Ross's NPI number?

The NPI number for Jean Ross is 1104862382. It was assigned to this individual provider in the NPPES registry on June 22, 2006.

Q: What is Jean Ross's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Jean Ross was last updated on January 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 22, 2006

2516 E DUPONT RD, FORT WAYNE, IN 46825(260) 434-6076(260) 489-0833 Get Directions Write a Review

NPPES record last updated: January 3, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jean D. Ross Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEAN D. ROSS NP (NPI 1104862382) is an individual nurse practitioner in Fort Wayne, Indiana, licensed in Indiana (71000818A) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1104862382

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJEAN D. ROSSCredential: NP

Location Address2516 E DUPONT RDFort Wayne, IN 46825-1608

Mailing Address6920 Pointe Inverness Way Ste 200, Medpartners, Attn: Barb CopelandFort Wayne, IN 46804-7934 · (260) 479-3514 · Fax (260) 479-3520

Phone(260) 434-6076

Fax(260) 489-0833

Sole ProprietorNo

Enumeration DateJune 22, 2006

Last NPPES UpdateJanuary 3, 2017

✔ NPI 1104862382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IN · 71000818A

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

2516 E DUPONT RD, Fort Wayne, IN 46825

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Other Identifiers 4

Medicare UPINP20119

Medicare PIN260690IIIIN

Medicaid200290830IN

Other000000611224IN · Anthem

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MANOLO M. MANALO MD

Family Medicine