| Doctor Name: | SARAH ROSS |
| NPI Number: | 1013036979 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | A.P.R.N., B.C. |
| License Number: | 100324 |
| Business Practice Address: | 35 Doctors Park Cape Girardeau, MO - 637034927 |
| Business Phone Number: | 5733349498 |
| Business Fax Number: | 5733320370 |
| Mailing Address: | 35 Doctors Park, CAPE GIRARDEAU |
| State: | MO |
| Postal Code: | 637034927 |
| Phone Number: | 5733349498 |
| Fax Number: | 5733320370 |
| NPI Enumeration Date: | 03/29/2007 |
| NPI Last Update Date: | 10/02/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | 100324 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |