Individual
KAREN CHRISTINE ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
102 WEST FREEDOM DRIVE, LIBERTY, MS 39645
(601) 657-8091
Mailing address
P O BOX 511, LIBERTY, MS 39645
(601) 657-4326
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R871215
MS
363LF0000X
Family Nurse Practitioner
RN107115
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09010048
—
MS
Enumeration date
06/14/2012
Last updated
12/12/2012
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