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NPI Code Detail

MEDICARE: MS. JUDYANNE TENICA ROSS R.N.

MEDICARE: MS. JUDYANNE TENICA ROSS R.N.
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
1163WG0000XGeneral Practice Registered Nurse5298VI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15298OTHERVIREGISTERED PROF. NURSE

General Provider Information

NPI Number : 1891828422
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JUDYANNE TENICA ROSS R.N.
Provider Business Mailing Address
First Line : 516 STRAND ST
Second Line :
City : FREDERIKSTED
State : VI
Zip : 00840-3533
Country : US
Telephone Number : 340-772-0260
Fax Number : 340-719-6276
Provider Business Practice Location Address
First Line : 516 STRAND ST
Second Line :
City : FREDERIKSTED
State : VI
Zip : 00840-3533
Country : US
Telephone Number : 340-772-0260
Fax Number : 340-719-6276
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2007
Last Update Date : 07/08/2007

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