Individual
AMANDA MICHELLE ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3725 MALL LN, TEXARKANA, TX 75501-2658
(903) 306-0001
(866) 232-5707
Mailing address
3725 MALL LN, TEXARKANA, TX 75501-2658
(903) 306-0001
(866) 232-5707
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP136674
TX
Other
Enumeration date
03/05/2018
Last updated
03/05/2018
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