Jeremy Daniel Ross, is a 
Licensed Practical Nurse based in Joint Base Lewis-mcchord, Washington. Jeremy Daniel Ross is licensed to practice in Texas (license number 225012) and his current practice location is 
11582 C St, Joint Base Lewis-mcchord, Washington. He can be reached at his office (for appointments etc.) via phone at 
(253) 966-7574.
NPI number for Jeremy Daniel Ross is 1093178006 and his current mailing address is 4720 S Pine St Apt J134, Tacoma, Washington. He 
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1093178006.
				
				
				
				
				
		 
		
		 
Provider's Profile
		
			
			
			| Full Name | Jeremy Daniel Ross | 
|---|
| Gender | Male | 
|---|
| Speciality | Licensed Practical Nurse | 
|---|
| Location | 11582 C St, Joint Base Lewis-mcchord, Washington | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
|---|
			
			 
			
						  NPI Data:
			
			- NPI Number: 1093178006
- Provider Enumeration Date: 03/29/2016
- Last Update Date: 03/29/2016
 
		 
		 
Medical Identifiers
		Medical identifiers for Jeremy Daniel Ross such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
|---|
		| 1093178006 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
|---|
		| 164W00000X | Licensed Practical Nurse | 225012 (Texas) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jeremy Daniel Ross is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
|---|
		| Jeremy Daniel Ross, 4720 S Pine St Apt J134,
 Tacoma, WA 98409-6444
 Ph: (253) 353-1443
 | Jeremy Daniel Ross, 11582 C St,
 Joint Base Lewis-mcchord, WA 98433
 Ph: (253) 966-7574
 | 
		
		 
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