person
Mary Ross
Community Health Registered Nurse in Bolivar, Tennessee
NPI 1124402698

Mary Ross is a Community Health Registered Nurse based in Bolivar, TN and is specialized in Community Health. Mary Ross practices in Bolivar, TN. The NPI Number for Mary Ross is 1124402698 and holds a License No. 0000095307 (Tennessee).

The current practice location address for Mary Ross is 10825 Old Highway 64, Bolivar, TN and can be reached out via phone at 731-658-5291 and via fax at 731-658-6536.

Location: 10825 Old Highway 64, Bolivar, TN, 38008-3599
person
Provider Profile Details
NPI Number
1124402698
Provider Name
Mary Ross
Credential
Provider Entity Type
Individual
Gender
Female
Address
10825 Old Highway 64, Bolivar, TN, 38008-3599
Phone Number
731-658-5291
Fax Number
731-658-6536
Provider Enumeration Date
07/15/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
626001445 01 TN STATE OF TN
institution
Provider Business Practice Location Address Details
Address
10825 Old Highway 64
City
State
Zip
38008-3599
Phone Number
731-658-5291
Fax Number
731-658-6536
person
Provider Business Mailing Address Details
Address
10825 Old Highway 64
City
State
Zip
38008-3599
Phone Number
731-658-5291
Fax Number
731-658-6536
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Community Health
Taxonomy
License No.
0000095307 (Tennessee)
Definition
Definition to come...
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