MARY ROSS
NPI 1124402698
Registered Nurse - Community Health in Bolivar, TN

Active since July 15, 2015
10825 OLD HIGHWAY 64, BOLIVAR, TN 38008(731) 658-5291(731) 658-6536 Get Directions Write a Review

NPPES record last updated: July 15, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Ross NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY ROSS (NPI 1124402698) is an individual community health provider in Bolivar, Tennessee, licensed in Tennessee (0000095307) and active in the NPI registry since July 2015.

NPPES Registry Identity

NPI1124402698
Entity TypeIndividualFemale
Primary Taxonomy163WC1500X
Provider Legal NameMARY ROSS
Location Address10825 OLD HIGHWAY 64Bolivar, TN 38008-3599
Mailing Address10825 Old Highway 64, Po Box 670Bolivar, TN 38008-3599 · (731) 658-5291 · Fax (731) 658-6536
Fax(731) 658-6536
Sole ProprietorNo
Enumeration DateJuly 15, 2015
NPI 1124402698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · Community HealthNursing Service Providers
Taxonomy Code163WC1500X
License Licensed in TN · 0000095307
10825 OLD HIGHWAY 64, Bolivar, TN 38008

Other Identifiers 1

Other626001445TN · State Of Tn

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
10825 OLD HIGHWAY 64
BOLIVAR, TN 38008
Registered Nurse
10825 OLD HIGHWAY 64
BOLIVAR, TN 38008
Dentist (General Practice)
10825 OLD HIGHWAY 64
BOLIVAR, TN 38008
Registered Nurse
10825 OLD HIGHWAY 64
BOLIVAR, TN 38008
Registered Nurse
10825 OLD HIGHWAY 64
BOLIVAR, TN 38008
Registered Nurse (Community Health)
10825 OLD HIGHWAY 64
BOLIVAR, TN 38008
Registered Nurse
10825 OLD HIGHWAY 64
BOLIVAR, TN 38008
Nurse's Aide
10825 OLD HIGHWAY 64
BOLIVAR, TN 38008

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Ross's NPI number?

The NPI number for Mary Ross is 1124402698. It was assigned to this individual provider in the NPPES registry on July 15, 2015.

Where is Mary Ross located?

Mary Ross practices at 10825 Old Highway 64, Bolivar, TN 38008. The listed phone number is (731) 658-5291.

What is Mary Ross's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Community Health, with taxonomy code 163WC1500X.

When was this NPI record last updated?

The NPPES record for Mary Ross was last updated on July 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.