NPI 1548896897

Ruby Dubose, CNA

Practitioner Home Health Aide Southaven, MS

Practice location

Address: 1723 Main St, Southaven, MS 38671-1238
Phone: (662) 655-0105

Registered specialties

Home Health Aide Primary

Nursing Service Related Providers Taxonomy 374U00000X Licence 1165308 (MS)

Other Home Health Aide providers in Mississippi →

Registry record

NPI: 1548896897
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Mar 2020
Record last updated: 18 Mar 2020

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.