Individual provider · Type 1 NPI
Khadeja Ross
Family Nurse Practitioner · Grand Prairie, TX
NPI number
1639645112
Active
Practice location
1032 Valley Brook Ln
Grand Prairie, TX 75052-8841
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | F10181274 (TX) |
Family Nurse Practitioner: Definition to come...
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About NPI 1639645112
Khadeja Ross's National Provider Identifier is 1639645112, issued on Oct 22, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Grand Prairie, TX. The record was last updated on Aug 14, 2019.