Provider Demographics
NPI:1164760021
Name:ROSS, JENNIFER HOPE
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:HOPE
Last Name:ROSS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1236 E JAMISON PL
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80122-3044
Mailing Address - Country:US
Mailing Address - Phone:720-400-9006
Mailing Address - Fax:
Practice Address - Street 1:1420 W CANAL CT
Practice Address - Street 2:SUITE 60
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-5655
Practice Address - Country:US
Practice Address - Phone:720-400-9006
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-27
Last Update Date:2013-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist