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NPI Code Detail

MEDICARE: JADEN NICOLE ROSS PA-C

MEDICARE: JADEN NICOLE ROSS PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant2026007345MO

General Provider Information

NPI Number : 1336003490
Entity Type Code : Individual
Provider Name (Legal Business Name) : JADEN NICOLE ROSS PA-C
Provider Business Mailing Address
First Line : 901 E 104TH ST # MS 400S
Second Line :
City : KANSAS CITY
State : MO
Zip : 64131-4517
Country : US
Telephone Number : 913-491-9100
Fax Number :
Provider Business Practice Location Address
First Line : 4321 WASHINGTON ST STE 4000
Second Line :
City : KANSAS CITY
State : MO
Zip : 64111-5965
Country : US
Telephone Number : 913-491-9100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2025
Last Update Date : 04/14/2026

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Directions to “ JADEN NICOLE ROSS PA-C” Practice Location

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