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Individual

MRS. TOMMERRIA LAJUNA ROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
6236 STAGE RD, BARTLETT, TN 38134-3726
(901) 425-4300
(901) 620-6342
Mailing address
6236 STAGE RD, BARTLETT, TN 38134-3726
(901) 425-4300
(901) 620-6342

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
27026
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
903660
MS

Other

Enumeration date
11/19/2019
Last updated
06/13/2022
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