Healthcare Provider Details

I. General information

NPI: 1659281277
Provider Name (Legal Business Name): J'LYNN ROSS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3150 GLOUCHESTER DR APT 132B
TROY MI
48084-2733
US

IV. Provider business mailing address

3150 GLOUCHESTER DR APT 132B
TROY MI
48084-2733
US

V. Phone/Fax

Practice location:
  • Phone: 313-686-9696
  • Fax:
Mailing address:
  • Phone: 313-686-9696
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: