Individual
LARIANN S ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-BC
Contact information
Practice address
1061 HARMON AVE, DMC/IMC, FORT STEWART, GA 31314-5641
(912) 435-5706
(912) 435-5569
Mailing address
1061 HARMON AVE, DMC/IMC, FORT STEWART, GA 31314-5641
(912) 435-5706
(912) 435-5569
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
079281
TN
363LF0000X
Family Nurse Practitioner
2778862
FL
363LF0000X
Family Nurse Practitioner
Primary
R100155
GA
Other
Enumeration date
07/18/2005
Last updated
09/15/2010
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