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JESSICA L ROSS
NPI 1730040049
Licensed Practical Nurse in Grandville, MI

Active since November 18, 2025
3584 FAIRLANES AVE SW STE 2, GRANDVILLE, MI 49418(616) 797-2124 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessica L Ross NPPES

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

JESSICA L ROSS (NPI 1730040049) is an individual licensed practical nurse in Grandville, Michigan, licensed in Michigan (4703125941) and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1730040049
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameJESSICA L ROSS
Location Address3584 FAIRLANES AVE SW STE 2Grandville, MI 49418-1583
Mailing Address532 S Union StSparta, MI 49345-1506 · (616) 302-4295 · Fax (616) 302-4295
Phone(616) 797-2124
Sole ProprietorNo
Enumeration DateNovember 18, 2025
NPPES CertifiedNovember 18, 2025
✔ NPI 1730040049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in MI · 4703125941
Definition
A licensed practical nurse 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.
3584 FAIRLANES AVE SW STE 2, Grandville, MI 49418
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Other Providers at the Same Location NPPES 14

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

JULIE ANNE BROCKMAN APRN-CNP
Family Medicine (Addiction Medicine)
3584 FAIRLANES AVE SW STE 2
GRANDVILLE, MI 49418
Kent County (616) 797-2124
MS. DAESHA LYNNE CANALES LPN
Licensed Practical Nurse
3584 FAIRLANES AVE SW STE 2
GRANDVILLE, MI 49418
Kent County (616) 222-5300
HEATHER NICHOLE LITTLE B.S.
Counselor (Addiction (Substance Use Disorder))
3584 FAIRLANES AVE SW STE 2
GRANDVILLE, MI 49418
Kent County (616) 222-5300
MR. TOMMIE EARL JOHNSON LLMSW
Prevention Professional
3584 FAIRLANES AVE SW STE 2
GRANDVILLE, MI 49418
Kent County (616) 222-5300
TORI TRUAX BS
Case Manager/Care Coordinator
3584 FAIRLANES AVE SW STE 2
GRANDVILLE, MI 49418
Kent County (616) 222-5300
MS. JENNIFER BALANGUE BARNETT
Counselor (Addiction (Substance Use Disorder))
3584 FAIRLANES AVE SW STE 2
GRANDVILLE, MI 49418
Kent County (616) 222-5300
REYNA BECKER RABAGO MS
Counselor (Addiction (Substance Use Disorder))
3584 FAIRLANES AVE SW STE 2
GRANDVILLE, MI 49418
Kent County (616) 222-5300
ANGELA LONG
Counselor
3584 FAIRLANES AVE SW STE 2
GRANDVILLE, MI 49418
Kent County (616) 222-5300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Ross's NPI number?

The NPI number for Jessica Ross is 1730040049. It was assigned to this individual provider in the NPPES registry on November 18, 2025.

Where is Jessica Ross located?

Jessica Ross practices at 3584 Fairlanes Ave SW Ste 2, Grandville, MI 49418. The listed phone number is (616) 797-2124.

What is Jessica Ross's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Jessica Ross was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.