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Khadeja Ross
Family Nurse Practitioner in Grand Prairie, Texas
NPI 1639645112

Khadeja Ross is a Family Nurse Practitioner based in Grand Prairie, TX and is specialized in Family. Khadeja Ross practices in Grand Prairie, TX. The NPI Number for Khadeja Ross is 1639645112 and holds a License No. F10181274 (Texas).

The current practice location address for Khadeja Ross is 1032 Valley Brook Ln, Grand Prairie, TX and can be reached out via phone at 443-366-2683.

Location: 1032 Valley Brook Ln, Grand Prairie, TX, 75052-8841
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639645112
Provider Name
Khadeja Ross
Credential
Provider Entity Type
Individual
Gender
Female
Address
1032 Valley Brook Ln, Grand Prairie, TX, 75052-8841
Phone Number
443-366-2683
Fax Number
Provider Enumeration Date
10/22/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1032 Valley Brook Ln
City
Grand Prairie
State
Texas
Zip
75052-8841
Phone Number
443-366-2683
Fax Number
person
Provider Business Mailing Address Details
Address
1032 Valley Brook Ln
City
Grand Prairie
State
Texas
Zip
75052-8841
Phone Number
443-366-2683
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
F10181274 (Texas)
Definition
Definition to come...
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