Individual
SHANNON ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
3641 YOUTH TOWN RD, PINSON, TN 38366-9804
(731) 988-5251
(731) 427-5605
Mailing address
PO BOX 1385, JACKSON, TN 38302-1385
(731) 988-5251
(731) 427-5605
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN0000090887
TN
Other
Enumeration date
06/07/2011
Last updated
06/07/2011
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