Most Relevant Information
Provider Data
| NPI Number: | 1003323106 |
| Provider Name: | KIMBERLY ELAINE ROSS FNP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 28083811A |
Most Important Dates
| Enumeration Date: | 01/10/2018 |
| Last Updated: | 03/17/2018 |
Provider Practice Location
404 W WALNUT ST
PRINCETON
IN
476701252
Practice Location Phone/Fax
| Phone: | 8126776809 |
| Fax: |
Provider Mailing Location
404 W WALNUT ST
PRINCETON
IN
476701252
Provider Mailing Phone/Fax
| Phone: | 8126776809 |
| Fax: |