Individual
MRS. MELISSA HOPE ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8060 WOLF RIVER BLVD, GERMANTOWN, TN 38138-1727
(901) 271-1000
(901) 271-4187
Mailing address
8060 WOLF RIVER BLVD, GERMANTOWN, TN 38138-1727
(901) 271-1000
(901) 271-4187
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AG0815147
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AG0815147
NP
MS
01
—
R890008
RN MULTI STATE
MS
Enumeration date
09/09/2015
Last updated
09/09/2015
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