Individual provider · Type 1 NPI

Mary Ross

Community Health Registered Nurse · Bolivar, TN

NPI number 1124402698 Active

Practice location

10825 Old Highway 64
Bolivar, TN 38008-3599

Call (731) 658-5291 Map

Fax (731) 658-6536

Specialties and licenses

TaxonomyCodeLicense
Community Health Registered Nurse Primary 163WC1500X0000095307 (TN)

Community Health Registered Nurse: Definition to come...

22 other providers at this address

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About NPI 1124402698

Mary Ross's National Provider Identifier is 1124402698, issued on Jul 15, 2015. The primary taxonomy on file is Community Health Registered Nurse (163WC1500X), and the practice location is in Bolivar, TN. The record was last updated on Jul 15, 2015.