Individual
ELIZABETH ROSE ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3444 WISCONSIN AVE, VICKSBURG, MS 39180-5331
(601) 638-0031
(601) 638-4950
Mailing address
3444 WISCONSIN AVE, VICKSBURG, MS 39180-5331
(601) 638-0031
(601) 638-4950
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
928358
MS
164W00000X
Licensed Practical Nurse
P318771
MS
Other
Enumeration date
12/11/2007
Last updated
02/13/2025
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