Individual
JULIE A ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP, FNP-BC
Contact information
Practice address
1312C HARRISON AVE, MCCOMB, MS 39648
(601) 684-8284
(601) 684-8199
Mailing address
1312C HARRISON AVE, MCCOMB, MS 39648-2830
(601) 684-8284
(601) 684-8199
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R672718
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08178571
—
MS
Enumeration date
01/26/2007
Last updated
07/18/2018
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