Provider Demographics
NPI:1811713605
Name:ROSS, JANET ELIZABETH (MS, RN, PMHCNS-BC)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:ELIZABETH
Last Name:ROSS
Suffix:
Gender:F
Credentials:MS, RN, PMHCNS-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 BLUEBERRY HILL RD
Mailing Address - Street 2:
Mailing Address - City:MEDWAY
Mailing Address - State:MA
Mailing Address - Zip Code:02053-2168
Mailing Address - Country:US
Mailing Address - Phone:508-269-4255
Mailing Address - Fax:
Practice Address - Street 1:5 BLUEBERRY HILL RD
Practice Address - Street 2:
Practice Address - City:MEDWAY
Practice Address - State:MA
Practice Address - Zip Code:02053-2168
Practice Address - Country:US
Practice Address - Phone:508-269-4255
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-26
Last Update Date:2024-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN150096364SP0810X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0810XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Child & Family