Doctor Name: | JANET L ROSS |
NPI Number: | 1497749105 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, FNP-C |
License Number: | R070037 |
Business Practice Address: | 1168 N Main St Cedartown, GA - 301252039 |
Business Phone Number: | 7707491005 |
Business Fax Number: | 7707491119 |
Mailing Address: | 102 East Ave, CEDARTOWN |
State: | GA |
Postal Code: | 301252922 |
Phone Number: | 7707491005 |
Fax Number: | 7707491119 |
NPI Enumeration Date: | 09/08/2005 |
NPI Last Update Date: | 07/30/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R070037 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |