Individual
MRS. GINA MICHELLE ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
6515 KEMP BLVD, WICHITA FALLS, TX 76308-5419
(940) 692-1220
(940) 689-5784
Mailing address
6515 KEMP BLVD, WICHITA FALLS, TX 76308
(940) 692-1220
(940) 689-5767
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
617104
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP122796
TX
Other
Enumeration date
11/27/2012
Last updated
10/05/2023
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