Individual
LINDA ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
596 PINECREST ROAD, JACKSBORO, TN 37757
(423) 437-2404
Mailing address
PO BOX 91, JACKSBORO, TN 37757-0091
(423) 437-2404
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
79770
TN
Other
Enumeration date
03/26/2021
Last updated
03/26/2021
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