Individual provider · NPI-1
Phyllis Cross, RN
Registered Nurse, Psych/Mental Health, Adult · Albany, GA
NPI number1063949006
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1063949006
- Entity type
- Individual (NPI-1)
- Name
- Phyllis Cross
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 22, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WP0809X | Registered Nurse, Psych/Mental Health, Adult | RN071336 | GA | Yes |
Practice location
601 11th AveAlbany, GA 31701-1645
Phone 229-430-4140
Mailing address
601 11th AveAlbany, GA 31701-1645
Phone 229-430-4140
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