NPI 1295150175

Nathan Tyler Ross, MHPP

Practitioner Clinical Neuropsychologist Jackson, MS

Practice location

Address: 2500 N State St, Jackson, MS 39216-4500
Phone: (601) 815-2005
Fax: (601) 496-9452
Mailing address: 504 Clinton Center Dr STE 4300, Clinton, MS 39056-5610

Registered specialties

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 621124 (MS)

Other Clinical Neuropsychologist providers in Mississippi →

Registry record

NPI: 1295150175
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Feb 2014
Record last updated: 16 Jul 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.