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NPI Code Detail

MEDICARE: CASEY LYNN ROSS FNP

MEDICARE:   CASEY LYNN ROSS  FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner734982TX

General Provider Information

NPI Number : 1649523861
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASEY LYNN ROSS FNP
Provider Business Mailing Address
First Line : 3100 SAM RAYBURN HWY
Second Line :
City : MELISSA
State : TX
Zip : 75454-2663
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3100 SAM RAYBURN HWY
Second Line :
City : MELISSA
State : TX
Zip : 75454-2663
Country : US
Telephone Number : 469-215-2366
Fax Number : 469-215-2377
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2012
Last Update Date : 05/14/2026

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Directions to “ CASEY LYNN ROSS FNP” Practice Location

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