Healthcare Provider Details

I. General information

NPI: 1497749105
Provider Name (Legal Business Name): JANET L ROSS RN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/08/2005
Last Update Date: 10/10/2025
Certification Date: 10/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

265 EVANS DR
BUCHANAN GA
30113-3086
US

IV. Provider business mailing address

1168 N. MAIN STREET SUITE 110
CEDARTOWN GA
30125-2922
US

V. Phone/Fax

Practice location:
  • Phone: 404-863-3221
  • Fax: 732-307-6950
Mailing address:
  • Phone: 770-749-1005
  • Fax: 770-749-1119

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN-NP070037
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: