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Contact Information

TIARA ROSS
620 S LAUREL ST
PINE BLUFF, AR71601-4859
 Phone: 870-534-4900
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Manager/Care Coordinator

171M00000X
 

Community Health Worker

172V00000X
Indicates primary specialty

NPI Profile & details for TIARA ROSS · (Female)

NPI Number 1174078117
Status Active
Credentials
Entity Individual
Enumeration date 08/19/2016
Last updated 05/11/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • NV Medicaid 464617191
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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