IndividualActive
Jill Bass, CNS
NPI 1104800754 · Gerontology Clinical Nurse Specialist · Roanoke, VA
Provider details
- NPI number
- 1104800754
- Entity type
- Individual
- Primary specialty
- Gerontology Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CNS
- Sex
- Female
- Sole proprietor
- No
- License
- 0015-000581 (VA)
Practice location
2118 Rosalind Ave Sw
Roanoke, VA 24014-1718
Phone: (540) 981-7653
Fax: (540) 981-7469
Mailing address
2419 Gravel Hill Rd
Vinton, VA 24179-5580
Registry dates
- Enumerated
- 2005-12-06
- Last updated
- 2008-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.