Provider Demographics
NPI:1982782330
Name:ROSS, APRIL MICHELLE (MD)
Entity Type:Individual
Prefix:DR
First Name:APRIL
Middle Name:MICHELLE
Last Name:ROSS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2274 HIGHWAY 43 S
Mailing Address - Street 2:
Mailing Address - City:PICAYUNE
Mailing Address - State:MS
Mailing Address - Zip Code:39466-8141
Mailing Address - Country:US
Mailing Address - Phone:601-798-3989
Mailing Address - Fax:601-798-3964
Practice Address - Street 1:2274 HIGHWAY 43 S
Practice Address - Street 2:
Practice Address - City:PICAYUNE
Practice Address - State:MS
Practice Address - Zip Code:39466-8141
Practice Address - Country:US
Practice Address - Phone:601-798-3989
Practice Address - Fax:601-798-3964
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2012-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL390200000X208000000X
AL30409208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics