SearchTennessee225200000X

Samantha Ross

NPI 1861809642 · on the registry since 2014

Practice

Address
272 Gardner Lane
Jacksboro, TN 37757
Phone
(423) 201-1254

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-07-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee