Provider Demographics
NPI:1649169137
Name:ROSS, GABBRAYELLE LYN
Entity type:Individual
Prefix:
First Name:GABBRAYELLE
Middle Name:LYN
Last Name:ROSS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 S 27TH ST APT 615
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68105-1538
Mailing Address - Country:US
Mailing Address - Phone:531-203-0344
Mailing Address - Fax:
Practice Address - Street 1:600 S 27TH ST APT 615
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68105-1538
Practice Address - Country:US
Practice Address - Phone:531-203-0344
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide