NPI 1770198202

Elicia Ross

Practitioner Community Health Worker Vicksburg, MS

Practice location

Address: 1110 Clay St, Vicksburg, MS 39183-2912
Phone: (601) 738-5820

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X

Other Community Health Worker providers in Mississippi →

Registry record

NPI: 1770198202
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Sep 2020
Record last updated: 11 Sep 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.