NPI age
6 years
Enumerated 2019-08-01
● Active
Type 1 · Individual
MS. Jacqueline Denise Ross, CRNP
Ross is 1 of 3 nurse practitioner providers in Fayetteville and 1 of 383 in Georgia.
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-02-13
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 383 active nurse practitioner providers in Georgia.
NPI age
6 years
≈ at median (5 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
31% of peers hold subspecialties
NPI lifetime · 2019 → 2026
2019-08Enumerated in NPPES
2019
2026
Where they practice
Practice location
108 N Park Dr
Fayetteville, GA 302141645
Mailing address
Po Box 11087
Montgomery, AL 361110087
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new nurse practitioner provider has been added in Fayetteville in the last 180 days.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.