Mrs Melissa C Ross, APRN | |
402 E Gore Ave, Gainesboro, TN 38562-9367 | |
(931) 268-6899 | |
Not Available |
Full Name | Mrs Melissa C Ross |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 402 E Gore Ave, Gainesboro, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982914065 | NPI | - | NPPES |
7100169440 | Medicaid | KY | |
1522232 | Medicaid | TN | |
4338108 | Other | TN | BCTN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | APN15173 (Tennessee) | Secondary |
363LF0000X | Nurse Practitioner - Family | 3013214 (Kentucky) | Primary |
Entity Name | Cookeville Medical Center Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013055912 PECOS PAC ID: 0143125237 Enrollment ID: O20031203000055 |
Mailing Address | Practice Location Address |
---|---|
Mrs Melissa C Ross, APRN 225 N Willow Ave Ste 3, Cookeville, TN 38501-2335 Ph: (931) 528-8899 | Mrs Melissa C Ross, APRN 402 E Gore Ave, Gainesboro, TN 38562-9367 Ph: (931) 268-6899 |
Mrs. Margie A Stafford, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 N Murray St, Jackson County Health Dept, Gainesboro, TN 38562 Phone: 931-268-0218 Fax: 931-268-0872 | |
Heather Stafford, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1340 N Grundy Quarles Hwy, Gainesboro, TN 38562 Phone: 931-268-0291 |