Provider Demographics
NPI:1801276795
Name:ROSS, CHERYL DENISE (N/A)
Entity type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:DENISE
Last Name:ROSS
Suffix:
Gender:F
Credentials:N/A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5592 FOX MEADOWS CV
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38115-2320
Mailing Address - Country:US
Mailing Address - Phone:901-800-0897
Mailing Address - Fax:901-249-7878
Practice Address - Street 1:5592 FOX MEADOWS CV
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38115-2320
Practice Address - Country:US
Practice Address - Phone:901-800-0897
Practice Address - Fax:901-249-7878
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-04
Last Update Date:2015-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No372500000XNursing Service Related ProvidersChore Provider
No372600000XNursing Service Related ProvidersAdult Companion