Individual
SHAWN P. ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1801 N JACKSON ST, TULLAHOMA, TN 37388-2201
(931) 393-7933
Mailing address
744 W MICHIGAN AVE, JACKSON, MI 49201-1909
(800) 242-1131
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
11718
TN
367500000X
Certified Registered Nurse Anesthetist
RN0000152627
TN
Other
Enumeration date
07/25/2006
Last updated
12/21/2022
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